GLAD DENTAL P.C. NPI 1548558836

NPI Information

  • NPI: 1548558836
  • Provider Name: GLAD DENTAL P.C.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 293 E 149TH ST
    BRONX, NY
    ZIP 10451
  • Phone: (646) 404-5005

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NPI Details

GLAD DENTAL P.C. is a general practice dentist in Bronx, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. GLAD DENTAL P.C. NPI is 1548558836. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

293 E 149TH ST
BRONX, NY
ZIP 10451-601
Phone: (646) 404-5005
Fax: (646) 404-5006

The provider's authorized official is Lia Datikashvili .
The authorized official title is President and has the following contact phone number (646) 404-5005.

The enumeration date for this NPI number is 7/20/2011 and was last updated on 7/20/2011.

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
11223G0001XDentistGeneral Practice055422-1NEW YORKYes

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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