Provider Demographics
NPI:1851730006
Name:APPLE TREE DENTISTRY, PLLC
Entity Type:Organization
Organization Name:APPLE TREE DENTISTRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SEHMI
Authorized Official - Middle Name:P
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:804-601-4211
Mailing Address - Street 1:13925 COALFIELD COMMONS PL
Mailing Address - Street 2:SUITE102
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23114-1216
Mailing Address - Country:US
Mailing Address - Phone:804-601-4211
Mailing Address - Fax:
Practice Address - Street 1:13925 COALFIELD COMMONS PL
Practice Address - Street 2:SUITE102
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114-1216
Practice Address - Country:US
Practice Address - Phone:804-601-4211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-20
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401413213261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental