Apple Dental, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS027476L Issued in PA

Legal business name

APPLE DENTAL, PC

Practice address

929 Lycoming Mall Dr
Pennsdale, PA 17756-7837

Phone

(570) 546-8888

Fax

(570) 546-7053

NPI assigned

Jun 1, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lawrence R Leggieri Sr., DDSNPI 1467678235

Title

Owner Dentist

Phone

(570) 546-8888

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence R Leggieri Sr., DDS

  • Dentist
  • Pennsdale, PA
  • NPI 1467678235
  NPD (past) Authorized official
• Bradley James Van Ess, DMD

  • Dentist
  • Muncy, PA
  • NPI 1790463925
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1508186545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 LYCOMING MALL DR",
            "city": "PENNSDALE",
            "state": "PA",
            "postal_code": "177567837",
            "telephone_number": "570-546-8888",
            "fax_number": "570-546-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 LYCOMING MALL DR",
            "city": "PENNSDALE",
            "state": "PA",
            "postal_code": "177567837",
            "telephone_number": "570-546-8888",
            "fax_number": "570-546-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "LEGGIERI",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "570-546-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS027476L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "643550",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Apple Dental Associate
• Drug Testing Centers of America-Pennsdale
• Dan Egli, PH.D.
• Families United Network Inc
• Families United Network, Inc.
• Gabriel Jay Johnson, O.D.

• General Practice Dentistry in Pennsdale, PA
• Providers in Pennsdale, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.