DR. GLEN SHANOCK (NPI# 1871578377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871578377 |
| Entity Type | Individual |
| Full Name | DR. GLEN SHANOCK |
| Credential | DDS |
| Practice Address |
120 W Park Ave Suite 301 Long Beach NY 11561-3301 |
| Practice Telephone | 5164315855 |
| Mailing Telephone | 5164315855 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
045836 | NY | Dental Providers |
| Street Address |
120 W PARK AVE SUITE 301 |
| City | LONG BEACH |
| State | NY |
| Zip Code | 11561-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730628884 | Glen Shanock's Dentistry, PC | Dentist | 120 W Park Ave, Suite 301, Long Beach, NY 11561-3301 | 2017-02-21 |
| 1104143353 | Jay Michael Silverstein | Psychologist | 120 W Park Ave, Suite 2, Long Beach, NY 11561-3301 | 2010-04-28 |
| 1235363441 | Kristina Hamilton | Social Worker | 120 W Park Ave, Long Beach, NY 11561-3301 | 2009-05-04 |
| 1811157860 | Mundeep Kaur Kainth | Pediatrics | 120 W Park Ave, Long Beach, NY 11561-3301 | 2008-06-12 |
| 1083891667 | Long Beach Imaging Center LLC | Dentist | 120 W Park Ave, Suite 306, Long Beach, NY 11561-3301 | 2008-01-26 |
| 1245437201 | Cirina Michelle Gervasi | Chiropractor | 120 W Park Ave, Suite 314, Long Beach, NY 11561-3301 | 2007-07-02 |
| 1417086083 | Hearing and Speech Associates, Inc. | Audiologist-Hearing Aid Fitter | 120 W Park Ave, Suite 3j, Long Beach, NY 11561-3301 | 2007-03-02 |
| 1821012675 | Daniel Edward Temple | Psychologist | 120 W Park Ave, Suite 307, Long Beach, NY 11561-3301 | 2006-07-26 |
| 1578510947 | Bonnie Sue Forman-franco | Audiologist | 120 W Park Ave, Suite 3j, Long Beach, NY 11561-3301 | 2006-05-30 |
| 1861454183 | Jacob Rosenberg | Pediatrics | 120 W Park Ave, Long Beach, NY 11561-3301 | 2006-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083246961 | Romina Zitofsky | Community Health Worker | 65 Pacific Blvd, Long Beach, NY 11561 | 2020-02-07 |
| 1710519038 | Can Flei Corp. | Massage Therapist | 116 Taft Ave., Long Beach, NY 11561 | 2020-02-05 |
| 1073032199 | Sherrie Cooper | Behavior Technician | 554 East Pine Street, Long Beach, NY 11561 | 2017-09-11 |
| 1437679354 | Alana Doonachar | Physician Assistant | 100 Belmont Avenue, Long Beach, NY 11561 | 2017-06-21 |
| 1023547452 | Tina Bayer | Nurse Practitioner | 427 East Chester Street 2nd Floor, Long Beach, NY 11561 | 2017-06-08 |
| 1316483977 | Taylor Nicole Paganini | Massage Therapist | 252 Grand Blvd, Long Beach, NY 11561 | 2017-01-06 |
| 1265803688 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 85 East Park Ave, Long Beach, NY 11561 | 2015-10-12 |
| 1588048797 | Carol Bell | Behavioral Analyst | 121 Harding Avenue, Long Beach, NY 11561 | 2015-07-17 |
| 1811378821 | Patricia Harris | Case Manager/Care Coordinator | 72 Illinios Avenue, Long Beach, NY 11561 | 2015-06-16 |
| 1164801916 | Antonia Dileo | Marriage & Family Therapist | 36 Prescott Street, Lido Beach, NY 11561 | 2015-05-27 |
| Find all providers in zip 11561 | ||||
| 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 |
|---|---|---|---|---|
| 1528261534 | Medhat N. Nashed, Dds, Ms Inc | Dentist | 4200 E Pacific Coast Hwy Ste 100, Long Beach, CA 90804-2107 | 2007-06-07 |
| 1730628884 | Glen Shanock's Dentistry, PC | Dentist | 120 W Park Ave, Suite 301, Long Beach, NY 11561-3301 | 2017-02-21 |
| 1205082708 | Gabriela Cervantes | Dentist | 3320 N Los Coyotes Diagonal, Long Beach, CA 90808-3918 | 2008-08-15 |
| 1659401842 | Santos Cortez | Dentist | 3320 N Los Coyotes Diagonal, Suite 200, Long Beach, CA 90808-3918 | 2007-03-06 |
| 1952431132 | Estela Sanchez | Dentist | 3320 N Los Coyotes Diagonal, Suite 200, Long Beach, CA 90808-3918 | 2007-03-06 |
| 1609901305 | Afsaneh Matin | Dentist | 455 E Columbia St, Long Beach, CA 90806-1620 | 2007-02-22 |
| 1235227836 | William John Worden | Dentist | 5175 E Pacific Coast Hwy, Suite#204, Long Beach, CA 90804-3317 | 2006-10-10 |
| 1316040397 | Erica Fran Sutter | Dentist | 202 W Park Ave, Long Beach, NY 11561-3212 | 2006-09-06 |
| 1922116730 | Santos Cortez, Dds, Inc. | Dentist | 3320 N Los Coyotes Diagonal, Suite 200, Long Beach, CA 90808-3918 | 2006-08-29 |
| 1437266376 | Ana M Planells | Dentist | 3320 N Los Coyotes Diagonal, Suite 200, Long Beach, CA 90808-3918 | 2006-08-24 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 11561 |
Please comment or provide details below to improve the information on DR. GLEN SHANOCK.
| 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.