Provider Demographics
NPI:1639218902
Name:AARON REILENDER D.D.S., PA
Entity Type:Organization
Organization Name:AARON REILENDER D.D.S., PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JODIE
Authorized Official - Middle Name:
Authorized Official - Last Name:REILENDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-788-4000
Mailing Address - Street 1:1710 E MADISON AVE
Mailing Address - Street 2:SUITE 600
Mailing Address - City:DERBY
Mailing Address - State:KS
Mailing Address - Zip Code:67037-2189
Mailing Address - Country:US
Mailing Address - Phone:316-788-4000
Mailing Address - Fax:316-788-4443
Practice Address - Street 1:1710 E MADISON AVE
Practice Address - Street 2:SUITE 600
Practice Address - City:DERBY
Practice Address - State:KS
Practice Address - Zip Code:67037-2189
Practice Address - Country:US
Practice Address - Phone:316-788-4000
Practice Address - Fax:316-788-4443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS72031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty