Active NPI
Glick Dental Associates, Inc.
- Dental Clinic/Center
- Solon, OH
National Provider Identifier
1720221807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 30.017346
- Legal business name
- GLICK DENTAL ASSOCIATES, INC.
- Practice address
- 28200 Miles Rd. Unit C
Solon, OH 44139 - Phone
- (440) 349-1400
- Fax
- (440) 349-0558
- NPI assigned
- Apr 20, 2009
- 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
- Dr. Fred S Glick, D.D.S., F.A.G.D
- Title
- President
- Phone
- (440) 349-1400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 30.017346 | OH | Primary |
Addresses
Primary practice location
28200 Miles Rd. Unit C
Solon, OH 44139
Mailing address
28200 Miles Rd. Unit C
Solon, OH 44139
Phone (440) 349-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831101435 | Other | GENERAL DENTISTRY |
National Provider Directory
National Provider DirectoryLocations
28200 Miles Rd
Unit C
Solon, OH 44139
Phone (440) 349-1400
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Solon, OH
- NPI 1881386142
-
- Dentist
- Solon, OH
- NPI 1194888933
-
- Dentist
- Solon, OH
- NPI 1003744814
-
- General Practice Dentistry
- Solon, OH
- NPI 1346779030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686528000000",
"number": "1720221807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28200 MILES RD. UNIT C",
"city": "SOLON",
"state": "OH",
"postal_code": "44139",
"telephone_number": "440-349-1400",
"fax_number": "440-349-0558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28200 MILES RD. UNIT C",
"city": "SOLON",
"state": "OH",
"postal_code": "44139",
"telephone_number": "440-349-1400",
"fax_number": "440-349-0558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLICK DENTAL ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-20",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A",
"authorized_official_last_name": "GLICK",
"authorized_official_first_name": "FRED",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "440-349-1400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S., F.A.G.D"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "OH",
"license": "30.017346",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GENERAL DENTISTRY",
"identifier": "1831101435",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Solon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.