Provider Demographics
NPI:1396215273
Name:AARON J CREGGER DDS LLC
Entity Type:Organization
Organization Name:AARON J CREGGER DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:CREGGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:636-544-7730
Mailing Address - Street 1:2821 N BALLAS RD STE 260
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-2378
Mailing Address - Country:US
Mailing Address - Phone:314-567-7737
Mailing Address - Fax:
Practice Address - Street 1:2821 N BALLAS RD STE 260
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-2378
Practice Address - Country:US
Practice Address - Phone:314-567-7737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-04
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental