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

Dr. Glen John Graffeo, DDS

Individual provider Dentist · NPI 1811905714

Dr. Glen John Graffeo, DDS is a Dentist in New York, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

630 Fifth Ave Ste 1862
New York, NY 10111
Phone: (212) 245-5158
Fax: (212) 757-6077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 39316 (NY)

Record details

NPI number1811905714
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 4, 2006
Last updated in NPPESJuly 8, 2007

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