# STEPHEN E. GLICK, DDS, PC

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

## Provider details

- **NPI number:** 1285741421
- **Authorized official:** DR. STEPHEN ERIC GLICK DDS (PRESIDENT)
- **Authorized official phone:** (804) 784-4150

## Contact information

- **Practice address:** 1600 HOCKETT RD, MANAKIN SABOT, VA 23103-2229
- **Practice address phone:** (804) 784-4150
- **Practice address fax:** (804) 784-1232
- **Mailing address:** 1600 HOCKETT RD, MANAKIN SABOT, VA 23103-2229
- **Mailing address phone:** (804) 784-4150
- **Mailing address fax:** (804) 784-1232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401410243 | VA | Yes |

## Other

- **Enumeration date:** 08/24/2006
- **Last updated:** 07/29/2011