Laura B Glicksman Ms DMD PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

19557 Issued in MA

Legal business name

LAURA B GLICKSMAN MS DMD PC

Practice address

119 Chestnut Street
Needham, MA 02492-2515

Phone

(781) 449-3560

Fax

(781) 449-0116

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Laura B Glicksman, MS DMDNPI 1053575068

Title

Orthodontist President

Phone

(781) 449-3560

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Laura B Glicksman, MS DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Needham, MA
  • NPI 1053575068
  NPD (past) Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336361930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 CHESTNUT STREET",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922515",
            "telephone_number": "781-449-3560",
            "fax_number": "781-449-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 CHESTNUT STREET",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922515",
            "telephone_number": "781-449-3560",
            "fax_number": "781-449-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA B GLICKSMAN MS DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLICKSMAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ORTHODONTIST PRESIDENT",
        "authorized_official_telephone_number": "781-449-3560",
        "authorized_official_credential": "MS DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "19557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Larkin
• Jade Larochelle, OT, OTD
• Theresa Louise Larrabee, N.P.
• Cecilia Larson, MD
• Barbara Suzanne Lasky, PTA
• Lauren Abeles Nutrition LLC
• Shannon Kelly Leavenworth, LMHC
• Elizabeth Leblanc, M.A.
• Erin Lechter, LICSW
• Jeanine Ledoux, R.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Needham, MA
• Providers in Needham, MA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.