Provider Demographics
NPI:1295812667
Name:GLASSMAN, STEVEN L (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:L
Last Name:GLASSMAN
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 1:18 TOTTEN CT
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-2800
Mailing Address - Country:US
Mailing Address - Phone:732-617-2744
Mailing Address - Fax:
Practice Address - Street 1:1146 HYLAN BLVD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-2031
Practice Address - Country:US
Practice Address - Phone:718-273-5558
Practice Address - Fax:718-448-8901
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035123122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist