Dr Glenn Boris Shtarkman, DMD - Medicare Dentist in Fairlawn, OH

Dr Glenn Boris Shtarkman, DMD is a medicare enrolled "Dentist - General Practice" provider in Fairlawn, Ohio. His current practice location is 620 Ridgewood Xing, Fairlawn, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 733-7911.

Dr Glenn Boris Shtarkman is licensed to practice in Ohio (license number 30-022124) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023161403.

Contact Information

Dr Glenn Boris Shtarkman, DMD
620 Ridgewood Xing,
Fairlawn, OH 44333-3531
(330) 733-7911
(330) 733-7911



Healthcare Provider's Profile

Full NameDr Glenn Boris Shtarkman
GenderMale
SpecialityDentist - General Practice
Location620 Ridgewood Xing, Fairlawn, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023161403
  • Provider Enumeration Date: 01/19/2007
  • Last Update Date: 08/19/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 6406138411
  • Enrollment ID: I20170127001458

Medical Identifiers

Medical identifiers for Dr Glenn Boris Shtarkman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023161403NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 30-022124 (Ohio)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Glenn Boris Shtarkman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Glenn Boris Shtarkman, DMD
314 Halifax Ct,
Sagamore Hills, OH 44067-3413

Ph: (216) 554-6105
Dr Glenn Boris Shtarkman, DMD
620 Ridgewood Xing,
Fairlawn, OH 44333-3531

Ph: (330) 733-7911

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› Verified 2 days ago


Dentist in Fairlawn, OH

Dr. Michael Alan Blum, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 55 S Miller Rd, Suite 102, Fairlawn, OH 44333
Phone: 330-836-8050    Fax: 330-836-8210
Ayah Koleilat, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3523 Commercial Dr, Fairlawn, OH 44333
Phone: 330-668-9977    
Donald Douglas Mackay, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 33 Merz Blvd, Fairlawn, OH 44333
Phone: 330-864-8822    Fax: 330-864-1957
Dr. Dyren Brown, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3737 W Market St, Fairlawn, OH 44333
Phone: 330-668-8880    
Dr. Mark C Gorman, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 3045 Smith Road, Suite 600, Fairlawn, OH 44333
Phone: 330-668-4044    Fax: 330-668-4054
Dr. Maria Haas, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3500 W Market St, Fairlawn, OH 44333
Phone: 330-666-6541    

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