Provider Demographics
NPI:1326265158
Name:APOLLON, WARREN J (DMD)
Entity Type:Individual
Prefix:
First Name:WARREN
Middle Name:J
Last Name:APOLLON
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 1:150 ALLENDALE RD
Mailing Address - Street 2:BUILDING 3
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-2926
Mailing Address - Country:US
Mailing Address - Phone:610-337-8080
Mailing Address - Fax:
Practice Address - Street 1:150 ALLENDALE RD
Practice Address - Street 2:BUILDING 3
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-2926
Practice Address - Country:US
Practice Address - Phone:610-337-8080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA170601223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics