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

Dr. Glenn R Stanislaus, DMD

Individual provider Dentist · NPI 1265850721

Dr. Glenn R Stanislaus, DMD is a Dentist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1003 Richmond Ave
Staten Island, NY 10314-1501
Phone: (718) 477-5588
Fax: (718) 477-5550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 0424921 (NY)

Record details

NPI number1265850721
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 2, 2014
Last updated in NPPESApril 2, 2014

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