Healthcare Provider Details

I. General information

NPI: 1811805344
Provider Name (Legal Business Name): DAVID GLASSBERG DMD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

831 ROUTE 211 E
SCOTCHTOWN NY
10941-1443
US

IV. Provider business mailing address

831 ROUTE 211 E
SCOTCHTOWN NY
10941-1443
US

V. Phone/Fax

Practice location:
  • Phone: 845-692-5311
  • Fax:
Mailing address:
  • Phone: 845-692-5311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAVID GLASSBERG
Title or Position: DENTIST/CEO
Credential: DMD
Phone: 201-281-6465