Provider Demographics
NPI:1437373180
Name:KROEMER, AARON J (DDS)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:J
Last Name:KROEMER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 S BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:SARANAC
Mailing Address - State:MI
Mailing Address - Zip Code:48881-8612
Mailing Address - Country:US
Mailing Address - Phone:616-642-9478
Mailing Address - Fax:616-642-9479
Practice Address - Street 1:54 S BRIDGE ST
Practice Address - Street 2:
Practice Address - City:SARANAC
Practice Address - State:MI
Practice Address - Zip Code:48881-8612
Practice Address - Country:US
Practice Address - Phone:616-642-9478
Practice Address - Fax:616-642-9479
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2601016567122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist