Provider Demographics
NPI:1851466080
Name:SANDLER, SCOTT GLENN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:GLENN
Last Name:SANDLER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 E 70TH ST
Mailing Address - Street 2:1E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5211
Mailing Address - Country:US
Mailing Address - Phone:212-517-4660
Mailing Address - Fax:212-517-8124
Practice Address - Street 1:225 E 70TH ST
Practice Address - Street 2:1E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5211
Practice Address - Country:US
Practice Address - Phone:212-517-4660
Practice Address - Fax:212-517-8124
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036220122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist