Healthcare Provider Details

I. General information

NPI: 1972745685
Provider Name (Legal Business Name): CHOICE ENDODONTICS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2009
Last Update Date: 09/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1891 NICOLE DR
DRESHER PA
19025-1430
US

IV. Provider business mailing address

1891 NICOLE DR
DRESHER PA
19025-1430
US

V. Phone/Fax

Practice location:
  • Phone: 201-401-5173
  • Fax:
Mailing address:
  • Phone: 201-401-5173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. CRAIG M APPELSTEIN
Title or Position: PRESIDENT
Credential: DMD
Phone: 201-401-5173