Provider Demographics
NPI:1417195298
Name:APPLEBAUM, ELIZABETH ANN (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ANN
Last Name:APPLEBAUM
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:DR
Other - First Name:ELIZABETH
Other - Middle Name:ANN
Other - Last Name:CHANENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:200 E WENDOVER AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1227
Mailing Address - Country:US
Mailing Address - Phone:336-645-1517
Mailing Address - Fax:336-645-1518
Practice Address - Street 1:200 E WENDOVER AVE
Practice Address - Street 2:SUITE B
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1227
Practice Address - Country:US
Practice Address - Phone:336-645-1517
Practice Address - Fax:336-645-1518
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-02
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC88341223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCDE6414Medicare UPIN