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DRS PERO & GLINKA LLC NPI 1215010368


NPI Information

NPI: 1215010368
Provider Name: DRS PERO & GLINKA LLC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
5635 MONCLOVA
MAUMEE, OH
ZIP 43537
Phone: (419) 893-0708
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DRS PERO & GLINKA LLC is a pediatric dentistry dentist in Maumee, OH. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DRS PERO & GLINKA LLC NPI is 1215010368. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5635 MONCLOVA
MAUMEE, OH
ZIP 43537-876
Phone: (419) 893-0708
Fax: (419) 893-2860

The provider's authorized official is Stephen J Pero .
The authorized official title is Owner and has the following contact phone number (419) 893-0708.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry14081OHIONo
21223P0221XDentistPediatric Dentistry13806OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10304325MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.