Healthcare Provider Details

I. General information

NPI: 1699574079
Provider Name (Legal Business Name): AARON RUSSELL ARKIN DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1207 WASHINGTON ST STE 40
HANOVER MA
02339-1683
US

IV. Provider business mailing address

1207 WASHINGTON ST STE 40
HANOVER MA
02339-1683
US

V. Phone/Fax

Practice location:
  • Phone: 781-826-3880
  • Fax:
Mailing address:
  • Phone: 781-826-3880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN10001495
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: