Glicksman & Mars Dental.LC

Primary specialty

DentistTaxonomy code 122300000X

License

DN11641 Issued in FL

Legal business name

GLICKSMAN & MARS DENTAL.LC

Practice address

12634 Pines Blvd
Pembroke Pines, FL 33027-1712

Phone

(954) 430-2300

Fax

(954) 430-3119

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Rick A Mars, DDSNPI 1316002637

Title

President

Phone

(305) 935-2797

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Rick A Mars, DDS

  • Dentist
  • Aventura, FL
  • NPI 1316002637
  NPD (past) Authorized official
• Joel Glicksman, DDS

  • Dentist
  • Aventura, FL
  • NPI 1669537981
  NPD (past)
• Sergio Manuel Varela Kellesarian, DDS

  • Dentist
  • Pembroke Pines, FL
  • NPI 1972032324
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609931740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12634 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271712",
            "telephone_number": "954-430-2300",
            "fax_number": "954-430-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12634 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271712",
            "telephone_number": "954-430-2300",
            "fax_number": "954-430-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLICKSMAN & MARS DENTAL.LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARS",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-935-2797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN11641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Sofia Glaccum-Gavagni, M.D.
• Alexis Leigh Glaser, D.M.D
• Robert Aldworth Glass, M.D.
• Glen Siegel P.a.
• Arthur Glick, APRN
• Global Birthing Care
• Global Business Care LLC
• Global Healthcare Solutions
• Global Medical Care of Florida
• Global OB GYN Centers PA

• Dentist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Dentist in Florida

• 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.