Healthcare Provider Details

I. General information

NPI: 1114086758
Provider Name (Legal Business Name): STEVEN ALAN APPEL D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 05/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 GEIGER ROAD SUITE A
PHILADELPHIA PA
19115-1009
US

IV. Provider business mailing address

211 GEIGER RD SUITE A
PHILADELPHIA PA
19115-1009
US

V. Phone/Fax

Practice location:
  • Phone: 215-676-3070
  • Fax: 215-676-4530
Mailing address:
  • Phone: 215-676-3070
  • Fax: 215-676-4530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDS020688L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: