Provider Demographics
NPI:1518356716
Name:APRATIM, ASHLEE NICOLE (DMD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEE
Middle Name:NICOLE
Last Name:APRATIM
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 FAIRVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:COLONIA
Mailing Address - State:NJ
Mailing Address - Zip Code:07067-3717
Mailing Address - Country:US
Mailing Address - Phone:732-381-7171
Mailing Address - Fax:
Practice Address - Street 1:422 FAIRVIEW AVE
Practice Address - Street 2:
Practice Address - City:COLONIA
Practice Address - State:NJ
Practice Address - Zip Code:07067-3717
Practice Address - Country:US
Practice Address - Phone:732-381-7171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-12
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI025932001223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice