Glenn Park, D.D.S

NPI: 1083613715

Glenn Park, D.D.S

Q: What is Glenn Park's NPI number?

Glenn Park's NPI number is 1083613715, a unique 10-digit identifier issued by CMS.

Q: What does Glenn Park specialize in?

Glenn Park specializes in Dentistry, taxonomy code 122300000X.

Q: Where does Glenn Park practice?

Glenn Park practices in Saratoga Springs, NY 12866-1200.

Q: When was Glenn Park's NPI issued?

Glenn Park's NPI was issued on July 15, 2005.

Q: What is Glenn Park's provider type?

Glenn Park is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderDentistry

NPI issued: July 15, 2005

Quick Facts

NPI Number

1083613715

TypeIndividual

StatusActive

SpecialtyDentistry

Taxonomy122300000X — Dentistry

Phone

(518) 583-3205

StateNY

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1083613715)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (July 15, 2005)

Data source: CMS NPPES

Provider Overview

GLENN PARK, D.D.S is a Dentistry provider based in Saratoga Springs, NY who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1083613715

Provider TypeIndividual Provider

GenderMale

CredentialD.D.S

StatusActive

Enumeration DateJuly 15, 2005

Practice Location

CitySaratoga Springs

StateNY

ZIP Code12866-1200

Phone(518) 583-3205

Specialties & Licenses

★ Primary

SpecialtyDentistry

Taxonomy Code122300000X

License StateNY

Mailing Address

CitySaratoga Springs

StateNY

ZIP Code12866-1200

Phone(518) 583-3205

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1083613715 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1083613715for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1083613715 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

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