Provider Demographics
NPI:1306948443
Name:GLOWINSKY, DANIEL H (DDS)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:H
Last Name:GLOWINSKY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3171 CHILI AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624
Mailing Address - Country:US
Mailing Address - Phone:585-889-1290
Mailing Address - Fax:585-889-1345
Practice Address - Street 1:3171 CHILI AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624
Practice Address - Country:US
Practice Address - Phone:585-889-1290
Practice Address - Fax:585-889-1345
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2017-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0387331223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01046386Medicaid