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General NPI Number Information
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NPI Number | 1821633025
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Entity Type | Organization
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Legal Business Name | AARON R SPRINGHETTI DMD LLC
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Dates
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Enumeration Date | 11/12/2019
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Last Update Date | 11/12/2019
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Provider Practice Location Address
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Address Line | 10485 N MICHIGAN RD STE 150
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City | CARMEL
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State | IN
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Zip | 46032-7954
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Country | US
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Telephone | 317-875-7645
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Fax |
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Provider Business Mailing Address
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Address Line | 5219 N COLLEGE AVE APT 701
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-3182
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Country | US
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Telephone | 812-455-3933
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. AARON R SPRINGHETTI
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Credential | DMD
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Telephone | 812-455-3933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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