MEDICARE: GLENN J. MARIE, DDS, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	040958	NY

General Provider Information

NPI Number	:	1760609275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLENN J. MARIE, DDS, PC

Provider Business Mailing Address
First Line	:	PO BOX 4038
Second Line	:
City	:	MIDDLETOWN
State	:	NJ
Zip	:	07748-4038
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	739 WOODROW RD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10312-2221
Country	:	US
Telephone Number	:	718-317-8524
Fax Number	:	718-984-6644

Authorized Official
Title or Position	:	PRES.
Name	:	DR. GLENN J. MARIE
Credential	:	DDS
Telephone Number	:	718-317-8524

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	11/13/2012

Similar Medicare Providers

1801281282 — KATHRYN PALLONETTI D.M.D
Practice Location Address:

739 WOODROW RD
STATEN ISLAND, NY
10312-2221

Practice Phone: 718-356-5437
Practice Fax:

1801439252 — WOODROW FAMILY DENTISTRY PC
Practice Location Address:

739 WOODROW RD
STATEN ISLAND, NY
10312-2221

Practice Phone: 718-317-8524
Practice Fax: 929-624-2512

1316943327 — CHENG-AN KANG M.D.
Practice Location Address:

2537 AMBOY RD
STATEN ISLAND, NY
10306-2221

Practice Phone: 718-351-0155
Practice Fax:

1598734949 — CHERYL B WORRELL D.M.D.
Practice Location Address:

35 WILLOWBROOK RD
STATEN ISLAND, NY
10302-2221

Practice Phone: 718-448-0266
Practice Fax: 718-448-3491

1235151762 — CHARLOTTE F. ST. JUSTE LCSW
Practice Location Address:

54 CONTINENTAL PL
STATEN ISLAND, NY
10303-2221

Practice Phone: 646-306-7213
Practice Fax:

1154873982 — MRS. ELLANA BREDER M.A., CCC-SLP
Practice Location Address:

2221 RICHMOND AVE
STATEN ISLAND, NY
10314-3920

Practice Phone: 718-475-5200
Practice Fax:

Directions to “GLENN J. MARIE, DDS, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.