Provider Demographics
NPI:1073623328
Name:SALVATORE S ARAGONA DDS PC
Entity Type:Organization
Organization Name:SALVATORE S ARAGONA DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SALVATORE
Authorized Official - Middle Name:S
Authorized Official - Last Name:ARAGONA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:586-263-4060
Mailing Address - Street 1:37020 GARFIELD ROAD
Mailing Address - Street 2:SUITE T4
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48036-3645
Mailing Address - Country:US
Mailing Address - Phone:586-263-4060
Mailing Address - Fax:586-263-4111
Practice Address - Street 1:37020 GARFIELD ROAD
Practice Address - Street 2:SUITE T4
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48036-3645
Practice Address - Country:US
Practice Address - Phone:586-263-4060
Practice Address - Fax:586-263-4111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI12445122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty