Active NPI
PG Dental LLC
- Pediatric Dentistry
- Montville, NJ
National Provider Identifier
1366322877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- PG DENTAL LLC
- Practice address
- 350 Main Rd Ste 101
Montville, NJ 07045-9219 - Phone
- (973) 265-1155
- Fax
- (973) 917-3506
- NPI assigned
- Sep 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Talya Gluck, DMD
- Title
- Doctor
- Phone
- (973) 265-1155
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
350 Main Rd Ste 101
Montville, NJ 07045-9219
Mailing address
350 Main Rd Ste 101
Montville, NJ 07045-9219
Phone (973) 265-1155
National Provider Directory
National Provider DirectoryLocations
350 Main Rd
Ste 101
Montville, NJ 07045
Phone (973) 265-1155
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Newark, NJ
- NPI 1053544361
-
- Pediatric Dentistry
- Montville, NJ
- NPI 1528752888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756944000000",
"number": "1366322877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 MAIN RD STE 101",
"city": "MONTVILLE",
"state": "NJ",
"postal_code": "070459219",
"telephone_number": "973-265-1155",
"fax_number": "973-917-3506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 MAIN RD STE 101",
"city": "MONTVILLE",
"state": "NJ",
"postal_code": "070459219",
"telephone_number": "973-265-1155",
"fax_number": "973-917-3506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PG DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-04",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A",
"authorized_official_last_name": "GLUCK",
"authorized_official_first_name": "TALYA",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "973-265-1155",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.