Provider Demographics
NPI:1639545254
Name:DR. JAROM ASTON DMD PLLC
Entity Type:Organization
Organization Name:DR. JAROM ASTON DMD PLLC
Other - Org Name:SENTRY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAROM
Authorized Official - Middle Name:L
Authorized Official - Last Name:ASTON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:817-901-7607
Mailing Address - Street 1:3846 W. DAVIST ST.
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304
Mailing Address - Country:US
Mailing Address - Phone:817-901-7607
Mailing Address - Fax:
Practice Address - Street 1:7309 SHADE CT
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-3653
Practice Address - Country:US
Practice Address - Phone:817-901-7607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX260331223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Single Specialty