NPIMap

Organization Active NPI

Dr.Milton a.Glicksman and Dr.Marly Gomes

  • Dentist
  • Dartmouth, MA
National Provider Identifier
1720324288
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DR.MILTON A.GLICKSMAN AND DR.MARLY GOMES
Practice address
49 State Rd
Dartmouth, MA 02747-3322
Phone
(508) 999-2234
Fax
(508) 999-1155
NPI assigned
Jan 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Authorized official

Name
Dr. Milton A. Glicksman, DMD
Title
Partner
Phone
(508) 999-2234

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X

Addresses

Primary practice location

49 State Rd
Dartmouth, MA 02747-3322

Mailing address

49 State Rd
Dartmouth, MA 02747-3322
Phone (508) 999-2234

National Provider Directory

National Provider Directory
Tax ID family
Drmilton Aglicksman and Drmarly Gomes2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1720324288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 STATE RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027473322",
            "telephone_number": "508-999-2234",
            "fax_number": "508-999-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 STATE RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027473322",
            "telephone_number": "508-999-2234",
            "fax_number": "508-999-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.MILTON A.GLICKSMAN AND DR.MARLY GOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "GLICKSMAN",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "508-999-2234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dartmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.