Healthcare Provider Details

I. General information

NPI: 1891878153
Provider Name (Legal Business Name): GLOWINSKY & HARDING DENTISTRY FOR CHILDREN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3171 CHILI AVE SUITE 400
ROCHESTER NY
14624-5440
US

IV. Provider business mailing address

3171 CHILI AVE SUITE 400
ROCHESTER NY
14624-5440
US

V. Phone/Fax

Practice location:
  • Phone: 585-889-1290
  • Fax: 585-889-1345
Mailing address:
  • Phone: 585-889-1290
  • Fax: 585-889-1345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number046302
License Number StateNY

VIII. Authorized Official

Name: DR. ALISON MATHEWS HARDING
Title or Position: DENTIST
Credential: DDS
Phone: 585-889-1290