Provider Demographics
NPI:1477609311
Name:AGGARWAL, TRUSHA PATEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:TRUSHA
Middle Name:PATEL
Last Name:AGGARWAL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2640 SALEM AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45406-2931
Mailing Address - Country:US
Mailing Address - Phone:937-276-9788
Mailing Address - Fax:
Practice Address - Street 1:2640 SALEM AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45406-2931
Practice Address - Country:US
Practice Address - Phone:937-276-9788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3020887122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2135120Medicaid