Gluck, Kenneth A
Gluck, Kenneth A is an individual health care provider with primary practice located at 110 Bergen St Room C-781, Newark NJ 07103-2495. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Gluck, Kenneth A can be contacted via phone (973) 972-4214.Contact Information
Primary practice address
110 Bergen St Room C-781
Newark NJ 07103-2495
Phone: (973) 972-4214
Fax: (973) 972-3884
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 22DI02379600 | New Jersey |
Profile Details
| NPI number | 1174789440 |
|---|---|
| LBN Legal business name | Gluck, Kenneth A |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2008 |
| Last updated | May 16th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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