Provider Demographics
NPI:1184896110
Name:APPLE TREE ORTHODONTICS, P.A.
Entity type:Organization
Organization Name:APPLE TREE ORTHODONTICS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:TIMMENY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-434-0190
Mailing Address - Street 1:77 GILCREAST RD
Mailing Address - Street 2:SUITE 3000
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-3518
Mailing Address - Country:US
Mailing Address - Phone:603-434-0190
Mailing Address - Fax:603-421-9550
Practice Address - Street 1:77 GILCREAST RD
Practice Address - Street 2:SUITE 3000
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3518
Practice Address - Country:US
Practice Address - Phone:603-434-0190
Practice Address - Fax:603-421-9550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-31
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH31511223X0400X
NHNH19031223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty