Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glen Shanock's Dentistry, PC

Organization Pediatric Dentistry · NPI 1730628884

Glen Shanock's Dentistry, PC is a Pediatric Dentistry in Long Beach, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

120 W Park Ave Ste 301
Long Beach, NY 11561-3301
Phone: (516) 431-5855
Fax: (516) 431-0728
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 045836 (NY)

Record details

NPI number1730628884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glen Shanock — Owner · (516) 431-5855
Other names Dr. Glen'S Happy Teeth
NPI enumeratedFebruary 21, 2017
Last updated in NPPESFebruary 21, 2017
Mailing address120 W Park Ave, Suite 301, Long Beach, NY 11561-3301

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