Dann James Gladnick, DMD – Dentist in Wilm, DE

Key facts

NPI: 1215044706
Entity type: Individual (NPI type 1)
Primary specialty: Dentist 122300000X
License: G10000964 (DE)
Practice address: 1104 N Broom St
2
Wilm, DE 19806
Phone: (302) 654-7243
Fax: (302) 654-9907
NPI assigned: Aug 23, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Dann J. Gladnick, D.M.D., P.a. Dentist · Wilmington, DE · NPI 1346071594

NPD Authorized official DENTIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
G10000964	DE	MD	Dentist

Practice roles

Organization	Specialty	Status	New patients
Dann J. Gladnick, D.M.D., P.a.	Dentist	Current	Accepting new patients

Locations

1104 N Broom St
#2
Wilmington, DE 19806
Phone (302) 654-7243

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist	122300000X	G10000964	DE	Yes

Addresses

Primary practice location

1104 N Broom St
2
Wilm, DE 19806

Mailing address

1104 N Broom St
2
Wilm, DE 19806

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215044706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 N BROOM ST",
            "address_2": "2",
            "city": "WILM",
            "state": "DE",
            "postal_code": "19806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 N BROOM ST",
            "address_2": "2",
            "city": "WILM",
            "state": "DE",
            "postal_code": "19806",
            "telephone_number": "302-654-7243",
            "fax_number": "302-654-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADNICK",
        "first_name": "DANN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "G10000964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.