Provider Demographics
NPI:1346428042
Name:APPLE DENTISTRY
Entity Type:Organization
Organization Name:APPLE DENTISTRY
Other - Org Name:APPLE DENTISTRY
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GITA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-596-6920
Mailing Address - Street 1:3900 W 15TH ST STE 401
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-4726
Mailing Address - Country:US
Mailing Address - Phone:972-596-6920
Mailing Address - Fax:972-867-7130
Practice Address - Street 1:3900 W 15TH ST STE 401
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-4726
Practice Address - Country:US
Practice Address - Phone:972-596-6920
Practice Address - Fax:972-867-7130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19961122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty