Provider Demographics
NPI:1396869731
Name:APICELLA, ALBERT J (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:J
Last Name:APICELLA
Suffix:
Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:400 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-6515
Mailing Address - Country:US
Mailing Address - Phone:717-697-8222
Mailing Address - Fax:717-697-7584
Practice Address - Street 1:400 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-6515
Practice Address - Country:US
Practice Address - Phone:717-697-8222
Practice Address - Fax:717-697-7584
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADS026446L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics