GLEN KORSEN DDS
NPI 1245444165
Dentist - Pediatric Dentistry in Smithtown, NY

Active since May 09, 2007
50 ROUTE 111, SUITE 214, SMITHTOWN, NY 11787(631) 265-3266(631) 382-7913 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Glen Korsen Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLEN KORSEN DDS (NPI 1245444165) is an individual pediatric dentistry provider in Smithtown, New York, licensed in New York (047121) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1245444165
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameGLEN KORSENCredential: DDS
Location Address50 ROUTE 111, SUITE 214Smithtown, NY 11787-3700
Mailing Address50 Route 111, Suite 214Smithtown, NY 11787-3700 · (631) 265-3266 · Fax (631) 382-7913
Fax(631) 382-7913
Sole ProprietorNo
Enumeration DateMay 9, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1245444165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in NY · 047121
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
50 ROUTE 111, Smithtown, NY 11787

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
50 ROUTE 111, SUITE 301
SMITHTOWN, NY 11787
Dentist (Orthodontics and Dentofacial Orthopedics)
50 ROUTE 111, SUITE 214
SMITHTOWN, NY 11787
Internal Medicine (Gastroenterology)
50 ROUTE 111, SUITE 302
SMITHTOWN, NY 11787
Physician Assistant
50 ROUTE 111
SMITHTOWN, NY 11787
Internal Medicine (Gastroenterology)
50 ROUTE 111, SUITE 302
SMITHTOWN, NY 11787
Internal Medicine (Gastroenterology)
50 ROUTE 111, SUITE 302
SMITHTOWN, NY 11787
Dentist (General Practice)
50 ROUTE 111, SUITE 212
SMITHTOWN, NY 11787
Anesthesiology
50 ROUTE 111
SMITHTOWN, NY 11787

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Korsen's NPI number?

The NPI number for Glen Korsen is 1245444165. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Glen Korsen located?

Glen Korsen practices at 50 Route 111 Suite 214, Smithtown, NY 11787. The listed phone number is (631) 265-3266.

What is Glen Korsen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Glen Korsen was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.