MEDICARE: APEX DENTAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1033568449
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APEX DENTAL LLC

Provider Business Mailing Address
First Line	:	238 ERNSTON RD
Second Line	:	SUITE #2
City	:	PARLIN
State	:	NJ
Zip	:	08859-1947
Country	:	US
Telephone Number	:	732-553-1313
Fax Number	:

Provider Business Practice Location Address
First Line	:	238 ERNSTON RD
Second Line	:	SUITE #2
City	:	PARLIN
State	:	NJ
Zip	:	08859-1947
Country	:	US
Telephone Number	:	732-553-1313
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALAN CHIEN
Credential	:
Telephone Number	:	732-553-1313

Provider Enumeration Date	:	06/07/2016
Last Update Date	:	06/14/2016

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Directions to “APEX DENTAL LLC ” Practice Location

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