Provider Demographics
NPI:1770477945
Name:BROPHY, AIDAN (DDS)
Entity type:Individual
Prefix:
First Name:AIDAN
Middle Name:
Last Name:BROPHY
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 1:257 E JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:NEW LEXINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43764-1060
Mailing Address - Country:US
Mailing Address - Phone:740-342-4156
Mailing Address - Fax:740-342-4156
Practice Address - Street 1:257 E JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:NEW LEXINGTON
Practice Address - State:OH
Practice Address - Zip Code:43764-1060
Practice Address - Country:US
Practice Address - Phone:740-342-4156
Practice Address - Fax:740-342-4156
Is Sole Proprietor?:No
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.028076122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist