Provider Demographics
NPI:1851433593
Name:DENTAL NETWORK ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:DENTAL NETWORK ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:K
Authorized Official - Last Name:APPELLE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:212-319-1777
Mailing Address - Street 1:1725 YORK AVENUE
Mailing Address - Street 2:APT #28A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128
Mailing Address - Country:US
Mailing Address - Phone:212-427-3732
Mailing Address - Fax:
Practice Address - Street 1:18 E 50TH ST
Practice Address - Street 2:EIGHTH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-6817
Practice Address - Country:US
Practice Address - Phone:212-319-1777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY26808122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty