Provider Demographics
NPI:1528185774
Name:APPOLON, KARTHILDE (DDS)
Entity Type:Individual
Prefix:DR
First Name:KARTHILDE
Middle Name:
Last Name:APPOLON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W 57TH STE 1402
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019
Mailing Address - Country:US
Mailing Address - Phone:212-557-8668
Mailing Address - Fax:212-582-8668
Practice Address - Street 1:200 W 57TH STE 1402
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019
Practice Address - Country:US
Practice Address - Phone:212-557-8668
Practice Address - Fax:212-582-8668
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0507451122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist