Healthcare Provider Details
I. General information
NPI: 1093780041
Provider Name (Legal Business Name): NEAL E. APPELSTEIN DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/22/2006
Last Update Date: 12/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
77 GARLAND LN
WILLINGBORO NJ
08046-3011
US
IV. Provider business mailing address
1700 DEVONSHIRE RD
DRESHER PA
19025-1307
US
V. Phone/Fax
- Phone: 856-321-0400
- Fax: 856-755-1340
- Phone: 215-657-5158
- Fax: 856-755-1300
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223E0200X |
| Taxonomy | Endodontics |
| License Number | 22DI02143800 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: