DR. GLENN J MARIE (NPI# 1588706758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588706758 |
| Entity Type | Individual |
| Full Name | DR. GLENN J MARIE |
| Practice Address |
739 Woodrow Rd Staten Island NY 10312-2221 |
| Practice Telephone | 7182276471 |
| Practice Fax Number | 7189846644 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
040958 | NY | Dental Providers |
| Street Address |
739 WOODROW RD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10312-2221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568540540 | Susan Roubicek | Dentist | 739 Woodrow Rd, Staten Island, NY 10312 | 2006-11-01 |
| 1801439252 | Woodrow Family Dentistry PC | Dentist | 739 Woodrow Rd, Staten Island, NY 10312-2221 | 2019-10-17 |
| 1760609275 | Glenn J. Marie, Dds, PC | Dentist | 739 Woodrow Rd, Staten Island, NY 10312-2221 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| 1407403876 | Shannen Rogozin | Occupational Therapist | 85 Macon Ave, Staten Island, NY 10312 | 2019-08-21 |
| 1972076107 | Alla Nusonovna Adler | Nurse Practitioner | 76winchester Ave, Staten Island, NY 10312 | 2019-01-10 |
| 1427559145 | Kelly Diefenthaler | Occupational Therapist | 165 Sheldon Avenue, Staten Island, NY 10312 | 2018-02-27 |
| 1316446776 | Maria Kathleen Caras | Counselor | 3930 Richmond Ave, #105, Staten Island, NY 10312 | 2018-02-12 |
| 1487172904 | Melissa Alter | Counselor | 31 Regent Circle, Staten Island, NY 10312 | 2017-09-05 |
| 1821515321 | Paul Abraham Benjamin | Pharmacist | 127 Wainwright Avenue, Staten Island, NY 10312 | 2017-08-24 |
| 1588180277 | Heloisa Vilas Boas | Specialist | 140 Laredo Avenue, Staten Island, NY 10312 | 2017-08-15 |
| 1245778604 | Lisa Marie Cutrona | Speech-Language Pathologist | 536 Wilson Ave., Staten Island, NY 10312 | 2017-02-06 |
| 1922468016 | Salvatrice Gaston | Licensed Practical Nurse | 97 Forest Green, Staten Island, NY 10312 | 2016-03-02 |
| Find all providers in zip 10312 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| 1861753949 | Brandon Joshua Jackson | Dentist | 70 Virginia Ave, Staten Island, NY 10305-1748 | 2012-06-05 |
| 1003054370 | Rachel Iospa | Dentist | 39 Heinz Ave, Staten Island, NY 10308-3329 | 2009-01-26 |
| 1689873614 | Abhinav Nath Sinha | Dentist | 6795 Hylan Blvd, Staten Island, NY 10309-3819 | 2007-07-11 |
| 1508994898 | Phyllis Gina Merlino | Dentist | 268 Todt Hill Rd, Staten Island, NY 10314-5532 | 2007-03-01 |
| 1174668503 | Alan Alterman | Dentist | 3611 Richmond Ave, Staten Island, NY 10312-3410 | 2007-02-21 |
| 1265495634 | Michelle Giumenta | Dentist | 2530 Amboy Rd, Staten Island, NY 10306-2220 | 2006-04-07 |
| 1316935505 | Deborah Gries | Dentist | 195 Bridgetown St, Staten Island, NY 10314-6006 | 2005-10-11 |
| 1174124291 | Sweet Tooth Pediatric Dentistry | Dentist | 6795 Hylan Blvd, Staten Island, NY 10309-3819 | 2020-11-04 |
| 1952756892 | Allison Paige Blutstein | Dentist | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2016-04-28 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10312 |
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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.