Provider Demographics
NPI:1386086783
Name:APPELBAUM ENDODONTICS, LLC
Entity type:Organization
Organization Name:APPELBAUM ENDODONTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:APPELBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MS
Authorized Official - Phone:973-600-0725
Mailing Address - Street 1:1 PROFESSIONAL QUADRANGLE
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-2330
Mailing Address - Country:US
Mailing Address - Phone:973-598-3450
Mailing Address - Fax:973-598-3455
Practice Address - Street 1:1 PROFESSIONAL QUADRANGLE
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-2330
Practice Address - Country:US
Practice Address - Phone:973-598-3450
Practice Address - Fax:973-598-3455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-25
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI024114001223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty