Individual
DR. GLENN NORMAN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
235 MADISON AVE, WYCKOFF, NJ 07481
(201) 891-5154
(201) 891-4675
Mailing address
235 MADISON AVE, WYCKOFF, NJ 07481
(201) 891-5154
(201) 891-4675
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22DI01837600
NJ
1223P0700X
Prosthodontics
Primary
22DI01837600
NJ
Other
Enumeration date
03/09/2007
Last updated
09/11/2025
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