# PREMIUM DENTAL SPECIALTIES, PC

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

## Provider details

- **NPI number:** 1861834749
- **Authorized official:** DR. NEAL E. APPELSTEIN D.M.D (OWNER/ ENDODONTIST)
- **Authorized official phone:** (856) 235-4696

## Contact information

- **Practice address:** 176 MADISON AVE, MOUNT HOLLY, NJ 08060-2000
- **Practice address phone:** (856) 235-4696
- **Practice address fax:** (856) 235-0017
- **Mailing address:** 1221 N CHURCH ST, SUITE 201, MOORESTOWN, NJ 08057-1245
- **Mailing address phone:** (856) 235-0020
- **Mailing address fax:** (856) 235-0017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 22DI02143800 | NJ | Yes |
| 1223P0300X | Periodontics | 22DI02035800 | NJ | — |

## Other

- **Enumeration date:** 07/22/2013
- **Last updated:** 07/22/2013