# JAN GLADSTONE & ROBERT DORSKY,DMD

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

## Provider details

- **NPI number:** 1215107602
- **Authorized official:** MRS. NANCY PENARANDA (OFFICE MANAGER)
- **Authorized official phone:** (201) 867-0900

## Contact information

- **Practice address:** 2400 BERGENLINE AVE, UNION CITY, NJ 07087-3677
- **Practice address phone:** (201) 867-0900
- **Practice address fax:** (201) 867-2352
- **Mailing address:** 2400 BERGENLINE AVE, UNION CITY, NJ 07087-3677
- **Mailing address phone:** (201) 867-0900
- **Mailing address fax:** (201) 867-2352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 13628 | NJ | — |
| 1223G0001X | General Practice Dentistry | 14344 | NJ | Yes |

## Other

- **Enumeration date:** 03/03/2008
- **Last updated:** 03/03/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3208508 | — | NJ |