Individual
JUAN R APONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
125 BROWN AVE, CROSSVILLE, TN 38555-4795
(931) 484-7650
Mailing address
125 BROWN AVE, CROSSVILLE, TN 38555-4795
(931) 484-7650
(207) 374-3810
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0000011511
TN
1223G0001X
General Practice Dentistry
3572
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133650000
—
ME
01
—
294110099
MAINE CARE
ME
Enumeration date
09/05/2006
Last updated
05/04/2021
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