# BENJAMIN GLICK DMD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205081585
- **Authorized official:** DR. BENJAMIN GLICK DMD (PRESIDENT)
- **Authorized official phone:** (702) 432-9100

## Contact information

- **Practice address:** 1070 W HORIZON RIDGE PKWY, SUITE 120, HENDERSON, NV 89012-6016
- **Practice address phone:** (702) 432-9100
- **Practice address fax:** (702) 558-9159
- **Mailing address:** 1070 W HORIZON RIDGE PKWY, SUITE 120, HENDERSON, NV 89012-6016
- **Mailing address phone:** (702) 432-9100
- **Mailing address fax:** (702) 558-9159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4281 | NV | Yes |

## Other

- **Enumeration date:** 11/30/2008
- **Last updated:** 11/30/2008