Provider Demographics
NPI:1629451000
Name:TSAY, AARON
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:TSAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10680 HAMPSHIRE AVE S
Mailing Address - Street 2:APT 205
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55438-2638
Mailing Address - Country:US
Mailing Address - Phone:734-546-7708
Mailing Address - Fax:
Practice Address - Street 1:4100 SHORELINE DR
Practice Address - Street 2:SUITE 4
Practice Address - City:SPRING PARK
Practice Address - State:MN
Practice Address - Zip Code:55384-4508
Practice Address - Country:US
Practice Address - Phone:952-224-9774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-03
Last Update Date:2015-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND13578122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist