David G Glazer, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

005375 Issued in CT

Practice address

300 Church St
Yalesville, CT 06492-2253

Phone

(203) 269-5557

NPI assigned

Mar 7, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1033249826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 STONEGATE CIR",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103461",
            "telephone_number": "203-272-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CHURCH ST",
            "city": "YALESVILLE",
            "state": "CT",
            "postal_code": "064922253",
            "telephone_number": "203-269-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZER",
        "first_name": "DAVID",
        "middle_name": "G",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "005375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002053759",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn S Cygler, LCSW
• Min Deng, D.M.D.
• Michelle Esposito, M.ED., LPC
• David Leon Fried, DMD
• Paul T Gambardella, DPM
• Jordan Goetz, MD
• Sandra Gonsalves, LCSW
• Hamden Eye Associates, P.C
• Helen Mrotek LPC, LLC
• Daniel Gabriel Herrera Jr., MS,LPCA

• General Practice Dentistry in Yalesville, CT
• Providers in Yalesville, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.