Glen R. Kreitzberg D.D.S.,P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

036804 Issued in NY

Legal business name

GLEN R. KREITZBERG D.D.S.,P.C.

Practice address

353 Veterans Memorial Hwy
Suite 202
Commack, NY 11725-4200

Phone

(631) 543-5555

Fax

(631) 543-5556

NPI assigned

Dec 21, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Glen Richard Kreitzberg, D.D.S.NPI 1710394101

Title

President

Phone

(631) 543-5555

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Glen Kreitzberg, DDS

  • Dentist
  • Commack, NY
  • NPI 1710394101
  NPD (past) Authorized official

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1881670883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 202",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254233",
            "telephone_number": "631-543-5555",
            "fax_number": "631-543-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 202",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254200",
            "telephone_number": "631-543-5555",
            "fax_number": "631-543-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN R. KREITZBERG D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "KREITZBERG",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-543-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "036804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah Gittleman, CF-SLP
• Ronni Glass, AU.D.
• Morton L Glassel, LCSW
• Paul L Glasser, D.D.S.
• Ilene S Glatman
• Alisa Suzanne Glick, P.T.
• Charles W. Gluck, LCSW-R
• Mary Gnieser, LCSW
• Dakota Godek
• Gold Coast Dermatology PC

• Dental Clinic/Center in Commack, NY
• Providers in Commack, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.