Tracey S Glinko, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN4053 Issued in ME

Practice address

51 Western Ave
Suite 3B
Fairfield, ME 04937-1382

Phone

(207) 238-6235

Fax

(207) 238-6236

NPI assigned

Jan 11, 2008

Last updated

Jan 23, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kennebec Valley Dental Arts

  • Dental Clinic/Center
  • Fairfield, ME
  • NPI 1710284518
  NPD (past)

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1821274564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 WESTERN AVE",
            "address_2": "SUITE 3B",
            "city": "FAIRFIELD",
            "state": "ME",
            "postal_code": "049371382",
            "telephone_number": "207-238-6235",
            "fax_number": "207-238-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 WESTERN AVE",
            "address_2": "SUITE 3B",
            "city": "FAIRFIELD",
            "state": "ME",
            "postal_code": "049371382",
            "telephone_number": "207-238-6235",
            "fax_number": "207-238-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLINKO",
        "first_name": "TRACEY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-11",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "DEN4053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairfield Pharmacy
• Roderick A Forrey, PA-C
• Tania Coy Gardiner Hassard, O.D.
• Jessy Matthew Garrett, PTA
• Jennifer L Giroux, OTA/L
• Kelsey Jean Gwazdosky, RN, BSN
• Jessica Lee Gyles, RN
• Dana M Haddad, MA, CCC-SLP
• Kaya Elizabeth Hart, MS
• Lisa Hart

• Dentist in Fairfield, ME
• Providers in Fairfield, ME by specialty
• Dentist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.