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General NPI Number Information
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NPI Number | 1710107065
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Entity Type | Organization
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Legal Business Name | APEX DENTAL CARE, LLC
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Dates
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Enumeration Date | 04/27/2007
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Last Update Date | 08/14/2013
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Provider Practice Location Address
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Address Line | 1600 HORIZON DR. SUITE 119
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City | CHALFONT
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State | PA
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Zip | 18914
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Country | US
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Telephone | 215-996-9968
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Fax | 215-996-9971
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Provider Business Mailing Address
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Address Line | 1600 HORIZON DR. SUITE 119
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City | CHALFONT
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State | PA
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Zip | 18914
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Country | US
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Telephone | 215-996-9968
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Fax | 215-996-9971
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | DR. IGOR GARY SHMURAK
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Credential | DMD
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Telephone | 215-996-9968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DS 036591
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License Number State | PA
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