DR. ETHAN MICHAEL GLICKMAN DDS
NPI 1508057142
Dentist - General Practice in Highland Park, NJ

Q: What is Ethan Glickman's NPI number?

The NPI number for Ethan Glickman is 1508057142. It was assigned to this individual provider in the NPPES registry on August 8, 2007.

Q: What is Ethan Glickman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Glickman was last updated on August 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 08, 2007

515 RARITAN AVENUE, HIGHLAND PARK, NJ 08904(732) 572-4244(732) 572-4274 Get Directions Write a Review

NPPES record last updated: August 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Ethan Michael Glickman Dds NPPES

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

DR. ETHAN MICHAEL GLICKMAN DDS (NPI 1508057142) is an individual general practice provider in Highland Park, New Jersey, licensed in New Jersey (D1009925) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1508057142

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ETHAN MICHAEL GLICKMANCredential: DDS

Location Address515 RARITAN AVENUEHighland Park, NJ 08904-2901

Mailing Address515 Raritan AvenueHighland Park, NJ 08904-2901 · (732) 572-4244 · Fax (732) 572-4274

Phone(732) 572-4244

Fax(732) 572-4274

Sole ProprietorNo

Enumeration DateAugust 8, 2007

✔ NPI 1508057142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NJ · D1009925

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

515 RARITAN AVENUE, Highland Park, NJ 08904

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Other Identifiers 1

Medicaid0811408NJ

Other Providers at the Same Location NPPES

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

DR. JACK KURLANSIK DMD

Dentist (General Practice)

515 RARITAN AVENUE
HIGHLAND PARK, NJ 08904

Middlesex County (732) 572-4244

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 Ethan Glickman's NPI number?

The NPI number for Ethan Glickman is 1508057142. It was assigned to this individual provider in the NPPES registry on August 8, 2007.

Where is Ethan Glickman located?

Ethan Glickman practices at 515 Raritan Avenue, Highland Park, NJ 08904. The listed phone number is (732) 572-4244.

What is Ethan Glickman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Ethan Glickman was last updated on August 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.