Doctor profile · Federal record
Dr. Glen Shanock, DDS
Pediatric Dentist · Long Beach, NY
- NPI 1871578377
- 21 yrs on file
- Male
- No sanctions
Practice & contact
- Primary practice
-
120 W Park Ave, Suite 301
Long Beach, NY 115613301
(516) 431-5855
Credentials & registration
- NPI registered
- December 2005 — 21 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 1223P0221X — NUCC code
- State license (1)
- New York #045836
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1871578377. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$49
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dentsply Sirona INC | 2 | $48.60 |
By nature of payment
Frequently asked questions
What is Dr. Glen Shanock's medical specialty?
Dr. Glen Shanock practices Pediatric Dentist in Long Beach, NY.
Where does Dr. Glen Shanock practice?
Dr. Glen Shanock practices at 120 W Park Ave, Long Beach, NY 115613301. Office phone: 5164315855.
What is Dr. Glen Shanock's NPI?
Dr. Glen Shanock's National Provider Identifier (NPI) is 1871578377, issued by NPPES.