Organization
G KIRK GLEASON, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. G KIRK GLEASON DDS (OWNER)
(518) 371-0224
Entity
Organization
Contact information
Practice address
981 ROUTE 146, CLIFTON PARK, NY 12065-3699
(518) 371-0224
(518) 371-8931
Mailing address
981 ROUTE 146, CLIFTON PARK, NY 12065-3699
(518) 371-0224
(518) 371-8931
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
029292
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00523524
—
NY
Enumeration date
11/17/2006
Last updated
08/22/2020
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