Provider Demographics
NPI:1508124785
Name:FIGUEROA, AARON DANIEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:DANIEL
Last Name:FIGUEROA
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 1:1240 MEADOW RD STE 300
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-3679
Mailing Address - Country:US
Mailing Address - Phone:847-272-9516
Mailing Address - Fax:847-272-9551
Practice Address - Street 1:1240 MEADOW RD STE 300
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-3679
Practice Address - Country:US
Practice Address - Phone:847-272-9516
Practice Address - Fax:847-272-9551
Is Sole Proprietor?:No
Enumeration Date:2012-04-25
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190310591223S0112X
IA089071223S0112X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program