Provider Demographics
NPI:1942390299
Name:MARTIN N GLASER DMD PA
Entity Type:Organization
Organization Name:MARTIN N GLASER DMD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:NEAL
Authorized Official - Last Name:GLASER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:305-557-0440
Mailing Address - Street 1:7409 MIAMI LAKES DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-6818
Mailing Address - Country:US
Mailing Address - Phone:305-557-0440
Mailing Address - Fax:305-557-0441
Practice Address - Street 1:7409 MIAMI LAKES DR
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-6818
Practice Address - Country:US
Practice Address - Phone:305-557-0440
Practice Address - Fax:305-557-0441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty