MEDICARE: DR. MARIA APERGIS DMD

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	1223G0001X	General Practice Dentistry	22DI02178300	NJ

General Provider Information

NPI Number	:	1720440415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA APERGIS DMD

Provider Business Mailing Address
First Line	:	1515 PALISADE AVE
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-5345
Country	:	US
Telephone Number	:	201-407-1075
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 PALISADE AVE
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-5345
Country	:	US
Telephone Number	:	201-407-1075
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2016
Last Update Date	:	07/21/2022

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