Healthcare Provider Details

I. General information

NPI: 1730352683
Provider Name (Legal Business Name): AARON BENJAMIN HARDING DMD, MS, FACP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2008
Last Update Date: 08/05/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88TH MEDICAL GROUP 4881 SUGAR MAPLE DR
WPAFB OH
45433
US

IV. Provider business mailing address

88TH MEDICAL GROUP 4881 SUGAR MAPLE DR
WPAFB OH
45433
US

V. Phone/Fax

Practice location:
  • Phone: 937-257-9632
  • Fax:
Mailing address:
  • Phone: 937-257-9632
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License NumberSC4340
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: