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

Dr. Justin Ryan Glazer, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1912156241

Dr. Justin Ryan Glazer, DDS is an Oral Surgery in Massapequa, New York. Graduated from Ohio State University College of Dentistry in 2006, 20 years ago. Practices with Siegel Cerbone and Mazzei LLP, a 4-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
20
Trained at
Ohio State University College of Dentistry
Licensed in
NY
In the registry since
2008
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

930 N Broadway
Massapequa, NY 11758-2394
Phone: (516) 541-2400
Fax: (516) 308-3812
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 053413 (NY)

Record details

NPI number1912156241
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedSeptember 10, 2008
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024
Mailing address930 N Broadway, Massapequa, NY 11758-2394

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF DENTISTRY
Graduated 2006 (20 years in practice)
Group practice Siegel Cerbone And Mazzei Llp — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Massapequa