Provider Demographics
NPI:1629393707
Name:BRINSTER, AARON M (DDS MD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:M
Last Name:BRINSTER
Suffix:
Gender:M
Credentials:DDS MD
Other - Prefix:
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Mailing Address - Street 1:5690 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-2736
Mailing Address - Country:US
Mailing Address - Phone:419-479-3939
Mailing Address - Fax:419-479-3933
Practice Address - Street 1:5690 MONROE ST
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-2736
Practice Address - Country:US
Practice Address - Phone:419-479-3939
Practice Address - Fax:419-479-3933
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2020-11-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH30.0249301223S0112X, 204E00000X
MI29010208781223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery