Premium Dental Specialties, PC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

22DI02143800 Issued in NJ

Legal business name

PREMIUM DENTAL SPECIALTIES, PC

Practice address

176 Madison Ave
Mount Holly, NJ 08060-2000

Phone

(856) 235-4696

Fax

(856) 235-0017

NPI assigned

Jul 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Neal E. Appelstein, D.M.D

Title

Owner/ Endodontist

Phone

(856) 235-4696

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1861834749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 N CHURCH ST",
            "address_2": "SUITE 201",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571245",
            "telephone_number": "856-235-0020",
            "fax_number": "856-235-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 MADISON AVE",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080602000",
            "telephone_number": "856-235-4696",
            "fax_number": "856-235-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM DENTAL SPECIALTIES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "APPELSTEIN",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/ ENDODONTIST",
        "authorized_official_telephone_number": "856-235-4696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "22DI02143800",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI02035800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian Polius-McLean, CRNA
• Melanie Polizzi, RN
• Christopher Bernard Ponce, M.D.
• Charmayne Powell, LAC 37AC00150300
• Kia C Pratt McCoy, MD
• Nancy Miriam Prickett, PT, NCS,GCS
• Marco Xavier Proano, MD
• Lori Prol, APN-C
• Psychiatric and Behavioral Health Care LLC
• Eileen Pucci

• Endodontics in Mount Holly, NJ
• Providers in Mount Holly, NJ by specialty
• Endodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.