Provider Demographics
NPI:1033568449
Name:APEX DENTAL LLC
Entity Type:Organization
Organization Name:APEX DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-553-1313
Mailing Address - Street 1:238 ERNSTON RD
Mailing Address - Street 2:SUITE #2
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-1947
Mailing Address - Country:US
Mailing Address - Phone:732-553-1313
Mailing Address - Fax:
Practice Address - Street 1:238 ERNSTON RD
Practice Address - Street 2:SUITE #2
Practice Address - City:PARLIN
Practice Address - State:NJ
Practice Address - Zip Code:08859-1947
Practice Address - Country:US
Practice Address - Phone:732-553-1313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-07
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty