# APEX DENTAL, PC

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

## Provider details

- **NPI number:** 1639570278
- **Authorized official:** ANTOINE J PANOSSIAN DMD (OWNER/SURGEON)
- **Authorized official phone:** (718) 497-9700

## Contact information

- **Practice address:** 7407 MYRTLE AVE, GLENDALE, NY 11385-7433
- **Practice address phone:** (718) 497-9700
- **Mailing address:** 7407 MYRTLE AVE, GLENDALE, NY 11385-7433
- **Mailing address phone:** (718) 497-9700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 049449-1 | NY | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 051170-1 | NY | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 052799 | NY | Yes |
| 125J00000X | Dental Therapist | 052602 | NY | — |

## Other

- **Enumeration date:** 09/15/2014
- **Last updated:** 09/15/2014