Provider Demographics
NPI:1124205273
Name:APPLE FAMILY DENTISTRY
Entity Type:Organization
Organization Name:APPLE FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROOZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-580-8331
Mailing Address - Street 1:5445 N MACARTHUR BLVD
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-3104
Mailing Address - Country:US
Mailing Address - Phone:972-580-8331
Mailing Address - Fax:972-550-7431
Practice Address - Street 1:5445 N MACARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-3104
Practice Address - Country:US
Practice Address - Phone:972-580-8331
Practice Address - Fax:972-550-7431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-30
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20898302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization