Individual
DR. PANAGIOTIS GLAVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
535 PLANDOME RD REAR 2, MANHASSET, NY 11030-1972
(516) 487-6453
(516) 439-4866
Mailing address
535 PLANDOME RD REAR 2, MANHASSET, NY 11030-1972
(516) 487-6453
(516) 439-4866
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
047563
NY
1223G0001X
General Practice Dentistry
047563
NY
1223P0700X
Prosthodontics
Primary
047563
NY
Other
Enumeration date
04/10/2006
Last updated
07/13/2020
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