Provider Demographics
NPI:1609680867
Name:APEX DENTAL GROUP, P.A.
Entity type:Organization
Organization Name:APEX DENTAL GROUP, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:FABIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:727-380-1140
Mailing Address - Street 1:11025 SPRING HILL DR STE 2
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34608-5049
Mailing Address - Country:US
Mailing Address - Phone:727-380-1140
Mailing Address - Fax:
Practice Address - Street 1:11025 SPRING HILL DR STE 2
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34608-5049
Practice Address - Country:US
Practice Address - Phone:727-380-1140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-06
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty