Provider Demographics
NPI:1053513424
Name:WARREN J. APOLLON, D.M.D.
Entity type:Organization
Organization Name:WARREN J. APOLLON, D.M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:J
Authorized Official - Last Name:APOLLON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:215-750-7779
Mailing Address - Street 1:586 MIDDLETOWN BLVD
Mailing Address - Street 2:SUITE C-10
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1829
Mailing Address - Country:US
Mailing Address - Phone:215-750-7779
Mailing Address - Fax:215-750-7848
Practice Address - Street 1:586 MIDDLETOWN BLVD
Practice Address - Street 2:SUITE C-10
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1829
Practice Address - Country:US
Practice Address - Phone:215-750-7779
Practice Address - Fax:215-750-7848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA170601223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty