Provider Demographics
NPI:1003008285
Name:APPLEGATE, MONIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:MONIE
Middle Name:
Last Name:APPLEGATE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:NY
Mailing Address - Zip Code:14086-2143
Mailing Address - Country:US
Mailing Address - Phone:716-683-2956
Mailing Address - Fax:716-706-7313
Practice Address - Street 1:27 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:NY
Practice Address - Zip Code:14086-2143
Practice Address - Country:US
Practice Address - Phone:716-683-2956
Practice Address - Fax:716-706-7313
Is Sole Proprietor?:No
Enumeration Date:2007-08-13
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0534971223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice