Glimmer Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GLIMMER DENTAL LLC

Practice address

Glimmer Dental
119 Millburn Avenue
Millburn, NJ 07041

Phone

(973) 376-5577

NPI assigned

Dec 12, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Diana Liu, DMDNPI 1790182764

Title

Dentist

Phone

(201) 406-3919

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diana Liu, D.M.D.

  • Dentist
  • Watchung, NJ
  • NPI 1790182764
  NPD Authorized official
• Herbert Sabin, DDS

  • General Practice Dentistry
  • Millburn, NJ
  • NPI 1699798140
  NPD (past)

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1235907957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 MAPLE ST",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070412114",
            "telephone_number": "201-406-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GLIMMER DENTAL",
            "address_2": "119 MILLBURN AVENUE",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "07041",
            "telephone_number": "973-376-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLIMMER DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-10",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "201-406-3919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY",
            "identifier": "1790182764",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark E Gilder, M.D.
• George Giordano
• Kathleen Glass, MS, CRNA
• Priscilla Glezen-Schneider
• Glike Services
• Esther S Goldman, MSW
• Marc Jeffery Goldman, DDS
• Cheryl J Goren Robins, DDS
• Sumeet Goswami, MD
• Timothy Dennis Gray

• Dentist in Millburn, NJ
• Providers in Millburn, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.