OrganizationActive
Glen Shanock'S Dentistry, PC
NPI 1730628884 · Pediatric Dentistry · Long Beach, NY
Glen Shanock'S Dentistry, PC is a Pediatric Dentistry organization in Long Beach, NY (NPI 1730628884).
Provider details
- NPI number
- 1730628884
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Glen Shanock, Owner(516) 431-5855
- License
- 045836 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
120 W Park Ave
Suite 301
Long Beach, NY 11561-3301
Phone: (516) 431-5855
Fax: (516) 431-0728
Street-level locationGet directions
Mailing address
120 W Park Ave
Long Beach, NY 11561-3301
Other names (DBA / former)
- Doing business as
- Dr. Glen'S Happy Teeth
Registry dates
- Enumerated
- 2017-02-21
- Last updated
- 2017-02-21
Frequently asked questions
- What is Glen Shanock'S Dentistry, PC's NPI number?
- Glen Shanock'S Dentistry, PC's National Provider Identifier (NPI) is 1730628884, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Glen Shanock'S Dentistry, PC?
- Glen Shanock'S Dentistry, PC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Glen Shanock'S Dentistry, PC located?
- Glen Shanock'S Dentistry, PC's practice location on file with NPPES is 120 W Park Ave, Long Beach, NY 11561-3301.
- What is Glen Shanock'S Dentistry, PC's phone number?
- The practice phone number listed in the NPPES registry for Glen Shanock'S Dentistry, PC is (516) 431-5855.
- Who is the authorized official for Glen Shanock'S Dentistry, PC?
- The authorized official listed on Glen Shanock'S Dentistry, PC's NPPES record is Glen Shanock, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Glen Shanock'S Dentistry, PC's NPI active?
- Yes — Glen Shanock'S Dentistry, PC's NPI (1730628884) is active in the NPPES registry as of the last update on 2017-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.