Gregory Michael Glavich, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045085-1 Issued in NY

Practice address

21 Castle Point Road
Castle Point, NY 12511-9999

Phone

(845) 831-2000

NPI assigned

Sep 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104928563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 OLD CASTLE POINT ROAD",
            "city": "CASTLE POINT",
            "state": "NY",
            "postal_code": "125119999",
            "telephone_number": "845-831-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CASTLE POINT ROAD",
            "city": "CASTLE POINT",
            "state": "NY",
            "postal_code": "125119999",
            "telephone_number": "845-831-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAVICH",
        "first_name": "GREGORY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045085-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ely Sy Dy, M.D.
• Christine Anne Feroli, NP,MSN
• Christine Marie Flewelling, PT
• Felicia A Fodera, O.D.
• Katie Ellen Galderisi
• Andrea Gold, AU.D.
• Jean Teresa Graf, O.T.R/L
• Steven Arthur Greenwell, M.D.
• Sheri Dawn Harrison, MD
• Shelly R. Hay, O.D.

• General Practice Dentistry in Castle Point, NY
• Providers in Castle Point, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.