Apeksha Hemangini Pole, DMD
Individual provider Active NPI General Practice Dentistry · Bogota, NJ
NPI 1699077115 · NPPES record last updated Jun 25, 2012
Key facts
- NPI
- 1699077115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 22DI02496600 (NJ)
- Practice address
- 85 E Main St
Bogota, NJ 07603-1307 - Phone
- (617) 699-2786
- NPI assigned
- Dec 4, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02496600 | NJ | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI02496600 | NJ | Yes |
Addresses
Primary practice location
85 E Main St
Bogota, NJ 07603-1307
Mailing address
505 W 37TH St
Apt 21G
New York, NY 10018-1257
Phone (617) 699-2786
Other providers in Bogota, NJ
- Julia Mercedes Novas
- Lina M Parra
- Berenice Paulino
- Denise Perez
- Gesenia B. Polanco
- Zhanna Radevich
- Reliable Health Care
- Reliable Health Care
- Reliable Health Care LLC
- Katherine Rivera
All providers in Bogota, NJ · General Practice Dentistry in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.