Provider Demographics
NPI:1407383060
Name:AGGARWAL, HERSHEAL (DDS, MDS, BDS)
Entity Type:Individual
Prefix:DR
First Name:HERSHEAL
Middle Name:
Last Name:AGGARWAL
Suffix:
Gender:M
Credentials:DDS, MDS, BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26800 WOODMONT DR APT 68
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-7282
Mailing Address - Country:US
Mailing Address - Phone:407-492-3555
Mailing Address - Fax:
Practice Address - Street 1:1500 S AW GRIMES BLVD STE 130
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-7837
Practice Address - Country:US
Practice Address - Phone:737-239-0149
Practice Address - Fax:737-239-0150
Is Sole Proprietor?:No
Enumeration Date:2017-05-15
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX391551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice