MEDICARE: APPLE DENTISTS, PLLC

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	22397	TX
2	122300000X	Dentist	21435	TX

General Provider Information

NPI Number	:	1659491504
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APPLE DENTISTS, PLLC

Provider Business Mailing Address
First Line	:	11900 BELLAIRE BLVD STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-2305
Country	:	US
Telephone Number	:	281-564-6665
Fax Number	:	281-561-6522

Provider Business Practice Location Address
First Line	:	4157 FM 1960 RD W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-3403
Country	:	US
Telephone Number	:	832-484-9000
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NANCY ANN MAI
Credential	:	DDS
Telephone Number	:	281-564-6665

Provider Enumeration Date	:	03/31/2007
Last Update Date	:	08/22/2020

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Directions to “APPLE DENTISTS, PLLC ” Practice Location

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