Provider Demographics
NPI:1508054958
Name:APPREHENSIVE PATIENT DENTAL OFFICE PC
Entity Type:Organization
Organization Name:APPREHENSIVE PATIENT DENTAL OFFICE PC
Other - Org Name:THE APPREHENSIVE PATIENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:P
Authorized Official - Last Name:KUTNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:732-544-9101
Mailing Address - Street 1:37 HIGHWAY 35
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-3900
Mailing Address - Country:US
Mailing Address - Phone:732-544-9101
Mailing Address - Fax:732-544-0929
Practice Address - Street 1:37 HIGHWAY 35
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-3900
Practice Address - Country:US
Practice Address - Phone:732-544-9101
Practice Address - Fax:732-544-0929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ19585122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty