DR. Glen Shanock, DDS is a pediatric dentistry dentist in Long Beach, NY. 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. Glen Shanock, DDS NPI is 1871578377. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
120 W PARK AVE
SUITE 301
LONG BEACH, NY
ZIP 11561-301
Phone: (516) 431-5855
The NPI 1871578377 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 12/7/2005 and was last updated on 7/8/2007.