National Provider Identifier Database

GREEN APPLE DENTISTRY PLLC
Dental


Contact Information

GREEN APPLE DENTISTRY PLLC
332 WASHINGTON STREET
MEZZANINE
WELLESLEY, MA02481
Phone: 405-826-2392
Fax:
Website:
Specialty Taxonomy Code
* Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for GREEN APPLE DENTISTRY PLLC

NPI Number 1235772831
Legal business name
LBN
GREEN APPLE DENTISTRY PLLC
Authorized official TERRANCE SHUTTS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/26/2019
Last updated 06/29/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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