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

Dr. Glen Shanock, DDS

Individual provider Pediatric Dentistry · NPI 1871578377

Dr. Glen Shanock, DDS is a Pediatric Dentistry in Long Beach, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
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.

See every abbreviation used in this directory →

Practice location Address checks out

120 W Park Ave Ste 301
Long Beach, NY 11561-3301
Phone: (516) 431-5855
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 number1871578377
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedDecember 7, 2005
Last updated in NPPESJuly 13, 2026
Mailing address120 W Park Ave, Suite 301, Long Beach, NY 11561-3301

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