Provider Demographics
NPI:1134233554
Name:APPELL, MARTIN EDWIN
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:EDWIN
Last Name:APPELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1261 E HILLSDALE BLVD
Mailing Address - Street 2:SUITE #3
Mailing Address - City:FOSTER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94404-1281
Mailing Address - Country:US
Mailing Address - Phone:650-345-5794
Mailing Address - Fax:650-345-4063
Practice Address - Street 1:1261 E HILLSDALE BLVD
Practice Address - Street 2:SUITE #3
Practice Address - City:FOSTER CITY
Practice Address - State:CA
Practice Address - Zip Code:94404-1281
Practice Address - Country:US
Practice Address - Phone:650-345-5794
Practice Address - Fax:650-345-4063
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA263311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice