Provider Demographics
NPI:1447346200
Name:GLAZER, KATHRYN (DMD)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:GLAZER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:934 BOSTON POST ROAD
Mailing Address - Street 2:UNIT 3A
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437
Mailing Address - Country:US
Mailing Address - Phone:203-533-5050
Mailing Address - Fax:203-689-5146
Practice Address - Street 1:934 BOSTON POST ROAD
Practice Address - Street 2:UNIT 3A
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437
Practice Address - Country:US
Practice Address - Phone:203-533-5050
Practice Address - Fax:203-689-5146
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300223461223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry