DR. JASON SCOTT GLICK D.D.S. NPI 1518042266

NPI Information

  • NPI: 1518042266
  • Provider Name: DR. JASON SCOTT GLICK, D.D.S.
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 2942 CENTRAL ST
    EVANSTON, IL
    ZIP 60201
  • Phone: (847) 905-0555

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NPI Details

DR. Jason Scott Glick, D.D.S. is a pediatric dentistry dentist in Evanston, IL. 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. DR. Jason Scott Glick, D.D.S. NPI is 1518042266. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2942 CENTRAL ST
EVANSTON, IL
ZIP 60201-246
Phone: (847) 905-0555

The enumeration date for this NPI number is 10/25/2006 and was last updated on 6/20/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric Dentistry021.002285ILLINOISNo
21223P0221XDentistPediatric DentistryFAC-40237IOWANo
31223P0221XDentistPediatric Dentistry021002285ILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1021.002285OTHERILLINOISSTATE OF ILLINOIS
2050551OTHERNEW YORKNEW YORK STATE DENTAL LICENSE
3FAC-40237OTHERIOWAIOWA DENTAL BOARD
42901022932OTHERMICHIGANSTATE OF MICHIGAN

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: 11/21/2025

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