Provider Demographics
NPI:1871765172
Name:APPLE DENTAL HEALTH SERVICES PC
Entity type:Organization
Organization Name:APPLE DENTAL HEALTH SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:K
Authorized Official - Last Name:KRINGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-575-9548
Mailing Address - Street 1:113-16 76 RD
Mailing Address - Street 2:1F
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375
Mailing Address - Country:US
Mailing Address - Phone:718-575-9548
Mailing Address - Fax:718-575-2969
Practice Address - Street 1:113-16 76 RD
Practice Address - Street 2:1F
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375
Practice Address - Country:US
Practice Address - Phone:718-575-9548
Practice Address - Fax:718-575-2969
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:APPLE DENTAL HEALTH SERVICES PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-26
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0451661122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty