Active NPI
Joel Micheal Glickman, D.M.D.
- Endodontics
- Allentown, PA
National Provider Identifier
1043213697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- #DS-019337-L
- Practice address
- 1251 S Cedar Crest Blvd
Ste 111C
Allentown, PA 18103-6205 - Phone
- (610) 432-1218
- Fax
- (610) 432-1219
- NPI assigned
- May 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | #DS-019337-L | PA | Primary |
Addresses
Primary practice location
1251 S Cedar Crest Blvd
Ste 111C
Allentown, PA 18103-6205
Mailing address
1251 South Cedar Crest Blvd.
Suite 111C
Allentown, PA 18103
Phone (610) 432-1218
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| #DS-019337-L | Other | PA | DENTAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #DS-019337-L | PA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1043213697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1251 SOUTH CEDAR CREST BLVD.",
"address_2": "SUITE 111C",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "18103",
"telephone_number": "610-432-1218",
"fax_number": "610-432-1219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 S CEDAR CREST BLVD",
"address_2": "STE 111C",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036205",
"telephone_number": "610-432-1218",
"fax_number": "610-432-1219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLICKMAN",
"first_name": "JOEL",
"middle_name": "MICHEAL",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "PA",
"license": "#DS-019337-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "#DS-019337-L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.