# APPLE DENTAL, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508186545
- **Authorized official:** DR. LAWRENCE R LEGGIERI SR. DDS (OWNER DENTIST)
- **Authorized official phone:** (570) 546-8888

## Contact information

- **Practice address:** 929 LYCOMING MALL DR, PENNSDALE, PA 17756-7837
- **Practice address phone:** (570) 546-8888
- **Practice address fax:** (570) 546-7053
- **Mailing address:** 929 LYCOMING MALL DR, PENNSDALE, PA 17756-7837
- **Mailing address phone:** (570) 546-8888
- **Mailing address fax:** (570) 546-7053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS027476L | PA | Yes |

## Other

- **Enumeration date:** 06/01/2010
- **Last updated:** 06/01/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 643550 | UPIN | PA |