Individual
DR. IAN ANDREW GLASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
30 LANDING AVENUE, SMITHTOWN, NY 11787-2711
(631) 724-1200
(631) 724-1201
Mailing address
55 DERBY PLACE, SMITHTOWN, NY 11787-1327
(631) 724-9041
(631) 724-1201
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
036700
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00908801
—
NY
Enumeration date
05/03/2007
Last updated
07/08/2007
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