Provider Demographics
NPI:1801011689
Name:PARSONS, AARON M (DDS)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:M
Last Name:PARSONS
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 1:2102 N MARKET ST
Mailing Address - Street 2:
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61822-1306
Mailing Address - Country:US
Mailing Address - Phone:217-351-2667
Mailing Address - Fax:217-351-2668
Practice Address - Street 1:2102 N MARKET ST
Practice Address - Street 2:
Practice Address - City:CHAMPAIGN
Practice Address - State:IL
Practice Address - Zip Code:61822-1306
Practice Address - Country:US
Practice Address - Phone:217-351-2667
Practice Address - Fax:217-351-2668
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice