GREEN APPLE DENTISTRY PLLC; NPI #1235772831

Contact Information

GREEN APPLE DENTISTRY PLLC

332 WASHINGTON STREET
MEZZANINE
WELLESLEY, MA 02481

Phone: 405-826-2392
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Dental	261QD0000X

Indicates primary specialty

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NPI Profile & details for GREEN APPLE DENTISTRY PLLC

NPI #	`1235772831`
LBN Legal business name	GREEN APPLE DENTISTRY PLLC
Authorized official	TERRANCE SHUTTS - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/26/2019
Last updated	06/29/2020 - About 6 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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