Provider Demographics
NPI:1063628089
Name:APUSTOL, ARCHIMEDES A (DMD)
Entity Type:Individual
Prefix:
First Name:ARCHIMEDES
Middle Name:A
Last Name:APUSTOL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2640 ROUTE 70
Mailing Address - Street 2:UNIT 9B
Mailing Address - City:MANASQUAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08736
Mailing Address - Country:US
Mailing Address - Phone:732-223-8899
Mailing Address - Fax:732-223-8054
Practice Address - Street 1:2640 ROUTE 70
Practice Address - Street 2:UNIT 9B
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736
Practice Address - Country:US
Practice Address - Phone:732-223-8899
Practice Address - Fax:732-223-8054
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ19795122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist