Provider Demographics
NPI:1083211346
Name:APPELMAN, CARL E (DDS)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:E
Last Name:APPELMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6322 ROCKAWAY DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-5049
Mailing Address - Country:US
Mailing Address - Phone:316-308-2139
Mailing Address - Fax:
Practice Address - Street 1:565 WAKARUSA DR STE A
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-3212
Practice Address - Country:US
Practice Address - Phone:316-308-2139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS617471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice