Provider Demographics
NPI:1497010227
Name:LERG, AARON FRANCIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:FRANCIS
Last Name:LERG
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 1:709 S. MARKET ST, PO BOX 3
Mailing Address - Street 2:
Mailing Address - City:DAVNILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43014
Mailing Address - Country:US
Mailing Address - Phone:740-599-6882
Mailing Address - Fax:740-599-7479
Practice Address - Street 1:709 S. MARKET ST
Practice Address - Street 2:
Practice Address - City:DAVNILLE
Practice Address - State:OH
Practice Address - Zip Code:43014
Practice Address - Country:US
Practice Address - Phone:740-599-6882
Practice Address - Fax:740-599-7479
Is Sole Proprietor?:No
Enumeration Date:2012-07-09
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH39121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH94722Medicaid