Provider Demographics
NPI:1659678316
Name:GLENART GROUP, INC.
Entity Type:Organization
Organization Name:GLENART GROUP, INC.
Other - Org Name:SMILE AMERICA DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR. VP
Authorized Official - Prefix:MR
Authorized Official - First Name:DON
Authorized Official - Middle Name:
Authorized Official - Last Name:GLADSTONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1866-838-3430
Mailing Address - Street 1:600 JEFFERSON PLAZA, SUITE 430
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852
Mailing Address - Country:US
Mailing Address - Phone:866-838-3430
Mailing Address - Fax:301-838-3063
Practice Address - Street 1:1841 COLUMBIA ROAD, NW,
Practice Address - Street 2:SUITE A
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009
Practice Address - Country:US
Practice Address - Phone:866-838-3430
Practice Address - Fax:301-838-3063
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GLENART GROUP, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-02-16
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN1000709122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty