Provider Demographics
NPI:1972601995
Name:APOLITO, FABIO G (DMD)
Entity Type:Individual
Prefix:DR
First Name:FABIO
Middle Name:G
Last Name:APOLITO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1398 STATE ROUTE 35
Mailing Address - Street 2:
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-3543
Mailing Address - Country:US
Mailing Address - Phone:732-531-9200
Mailing Address - Fax:732-531-3006
Practice Address - Street 1:1398 STATE ROUTE 35
Practice Address - Street 2:
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-3543
Practice Address - Country:US
Practice Address - Phone:732-531-9200
Practice Address - Fax:732-531-3006
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI 0208761223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics