Healthcare Provider Details

I. General information

NPI: 1023819315
Provider Name (Legal Business Name): ARON JOHNATHAN GLODOWSKI MS,DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2025
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6341 E SPRING ST
LONG BEACH CA
90808-4021
US

IV. Provider business mailing address

3901 LAS POSAS RD STE 9
CAMARILLO CA
93010-1502
US

V. Phone/Fax

Practice location:
  • Phone: 562-356-0283
  • Fax:
Mailing address:
  • Phone: 805-210-0452
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number113666
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: