Healthcare Provider Details

I. General information

NPI: 1346245974
Provider Name (Legal Business Name): STEVEN DAVID AARON DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 N MIAMI BEACH BLVD
NORTH MIAMI BEACH FL
33162-3716
US

IV. Provider business mailing address

900 N MIAMI BEACH BLVD
NORTH MIAMI BEACH FL
33162-3716
US

V. Phone/Fax

Practice location:
  • Phone: 305-947-9001
  • Fax: 954-370-0573
Mailing address:
  • Phone: 305-947-9001
  • Fax: 954-370-0573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number07776
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: