Provider Demographics
NPI:1154525533
Name:GLATT, THOMAS L (DDS)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:L
Last Name:GLATT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 HUDSON STREET
Mailing Address - Street 2:7TH FL
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030
Mailing Address - Country:US
Mailing Address - Phone:201-792-6666
Mailing Address - Fax:201-792-1166
Practice Address - Street 1:70 HUDSON STREET
Practice Address - Street 2:7TH FL
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030
Practice Address - Country:US
Practice Address - Phone:201-792-6666
Practice Address - Fax:201-792-1166
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ8493122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ22D100849300OtherLIC
NJ22D100849300OtherLIC