# DR. JASON SCOTT GLICK

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1518042266
- **Gender:** Man
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 021.002285 | IL | — |
| 1223P0221X | Pediatric Dentistry | 021002285 | IL | Yes |
| 1223P0221X | Pediatric Dentistry | FAC-40237 | IA | — |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 06/20/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 021.002285 | STATE OF ILLINOIS | IL |
| 01 | — | 050551 | NEW YORK STATE DENTAL LICENSE | NY |
| 01 | — | 2901022932 | STATE OF MICHIGAN | MI |
| 01 | — | FAC-40237 | IOWA DENTAL BOARD | IA |