Healthcare Provider Details

I. General information

NPI: 1497010227
Provider Name (Legal Business Name): AARON FRANCIS LERG DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2012
Last Update Date: 09/24/2020
Certification Date: 09/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 S. MARKET ST
DAVNILLE OH
43014
US

IV. Provider business mailing address

709 S. MARKET ST, PO BOX 3
DAVNILLE OH
43014
US

V. Phone/Fax

Practice location:
  • Phone: 740-599-6882
  • Fax: 740-599-7479
Mailing address:
  • Phone: 740-599-6882
  • Fax: 740-599-7479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number3912
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: