DR. RICHARD L. GLICK (NPI# 1528044773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528044773 |
| Entity Type | Individual |
| Full Name | DR. RICHARD L. GLICK |
| Credential | DDS |
| Practice Address |
1090 New London Ave Cranston RI 02920-3035 |
| Practice Telephone | 4019436311 |
| Practice Fax Number | 4019432030 |
| Mailing Telephone | 4019436311 |
| Mailing Fax Number | 4019432030 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
1681 | RI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104989482 | Richard Saul Glick | Obstetrics & Gynecology | 1444 Candlebrook Dr, Dresher, PA 19025-1023 | 2006-12-18 |
| 1922178375 | Richard Glick | Surgery | Schneider Children Hospital, 269-01 76th Avenue, New Hyde Park, NY 11040 | 2006-11-09 |
| 1538263884 | Richard Stephen Glick | Internal Medicine | 6405 North Federal Highway, Suite 105, Fort Lauderdale, FL 33308 | 2006-09-08 |
| Street Address |
1090 NEW LONDON AVE |
| City | CRANSTON |
| State | RI |
| Zip Code | 02920-3035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841276474 | David P. Mastrostefano | Dentist | 1090 New London Ave, Cranston, RI 02920-3035 | 2005-12-15 |
| 1669011227 | Beacon Dental Health Ri, PC | Dentist | 1090 New London Ave, Cranston, RI 02920-3035 | 2019-12-31 |
| 1164880399 | Erica Vice | Dentist | 1090 New London Ave, Cranston, RI 02920-3035 | 2016-02-02 |
| 1336398676 | Advanced Cosmetic Dentistry Ltd | Dentist | 1090 New London Ave, Cranston, RI 02920-3035 | 2008-09-11 |
| 1063545143 | Pediatric Dentistry, Ltd. | Dentist | 1090 New London Ave, Cranston, RI 02920-3035 | 2007-03-14 |
| 1063565794 | Ricardo Burdiel | Dentist | 1090 New London Ave, Cranston, RI 02920-3035 | 2007-01-18 |
| 1154485480 | Quality Behavioral Health | Counselor | 1090 New London Ave, Cranston, RI 02920-3035 | 2006-12-21 |
| 1366505216 | Wendy Sanford | Counselor | 1090 New London Ave, Cranston, RI 02920-3035 | 2006-12-19 |
| 1104998467 | Mark P. Small, Dmd, Inc. | Dentist | 1090 New London Ave, Suite 2, Cranston, RI 02920-3035 | 2006-11-14 |
| 1760579403 | Steven Dennis Lasser | Dentist | 1090 New London Ave, Cranston, RI 02920-3035 | 2006-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184262198 | Beacon Dental Health Ri, PC | Clinic/Center | Beacon Dental Health Ri, P.C., 1090 New London Avenue, Cranston, RI 02920 | 2019-12-20 |
| 1821642240 | Jaime L Nixon | Dietitian, Registered | 444 Meshanticut Valley Parkway, Apt 37, Cranston, RI 02920 | 2019-07-25 |
| 1164923553 | Codac Inc | Peer Specialist | 3 Regan Ct, Cranston, RI 02920 | 2018-02-22 |
| 1144673096 | Joanne Le | Optometrist | 1400 Oaklawn Ave., Cranston, RI 02920 | 2016-07-15 |
| 1053790733 | Alanna Conley | Speech-Language Pathologist | 45 Sockanosset Cross Rd Ste 100, Cranston, RI 02920 | 2015-05-27 |
| 1114322740 | Nicole Enos | Physical Therapist | 51 Sockanosset Crossroad, Cranston, RI 02920 | 2014-10-24 |
| 1841622313 | Courtney Faiith Oliver | Occupational Therapy Assistant | 150 Midway Road, Suite 173, Cranston, RI 02920 | 2013-08-06 |
| 1386086403 | Sarah Gonzalez | Marriage & Family Therapist | 105 Sockanosset Cross Rd Ste 102, Cranston, RI 02920 | 2013-07-18 |
| 1902246788 | Amanda Lee Zarriello | Physical Medicine & Rehabilitation | 10 Worthington Rd, Cranston, RI 02920 | 2013-06-26 |
| 1962742528 | Yatyee Lee | Counselor | 141 Elmwood Avenue, Cranston, RI 02920 | 2013-02-19 |
| Find all providers in zip 02920 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336398676 | Advanced Cosmetic Dentistry Ltd | Dentist | 1090 New London Ave, Cranston, RI 02920-3035 | 2008-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124231253 | Daniel Peter Decesare | Dentist | 1740 Atwood Ave., Johnston, RI 02919-3269 | 2007-05-07 |
| 1447378047 | Perio Inc | Dentist | 118 Point Judith Road, Unit 3, Narragansett, RI 02882-3439 | 2007-03-26 |
| 1275666141 | George W Pirie | Dentist | 77 Toll Gate Road, Warwick, RI 02886-4443 | 2007-03-13 |
| 1851434070 | Gregory S Theberge | Dentist | 1740 Atwood Ave, Johnston, RI 02919-3214 | 2007-02-15 |
| 1225185747 | Steven Jay Peiser | Dentist | 324 Angell St, Providence, RI 02906-3205 | 2007-01-05 |
| 1508950924 | Martin Craig Nager | Dentist | 67 Jefferson Boulvard, Warwick, RI 02888-1053 | 2006-10-02 |
| 1639271554 | Jeffrey Bram Shapiro | Dentist | 189 Governor St, Providence, RI 02906 | 2006-09-01 |
| 1265542955 | George B Gettinger | Dentist | 2138 Mendon Rd Ste 201, Cumberland, RI 02864-3835 | 2006-08-30 |
| 1467465054 | Denise M Shapiro | Dentist | 40 Elmgrove Avenue, Providence, RI 02906 | 2006-08-14 |
| 1801307319 | Giuseppe Cicero | Dentist | 130 Granite St, Westerly, RI 02891-2495 | 2017-10-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.