Shanock, Glen

Shanock, Glen is an individual health care provider with primary practice located at 120 W Park Ave Suite 301, Long Beach NY 11561-3301. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Shanock, Glen can be contacted via phone (516) 431-5855.

Contact Information

Primary practice address
120 W Park Ave Suite 301 Long Beach NY 11561-3301
Phone: (516) 431-5855
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 045836 New York

Profile Details

NPI number 1871578377
LBN Legal business name Shanock, Glen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Jul 8th, 2007 - about 18 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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