Provider Demographics
NPI:1821633025
Name:AARON R SPRINGHETTI DMD LLC
Entity Type:Organization
Organization Name:AARON R SPRINGHETTI DMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:R
Authorized Official - Last Name:SPRINGHETTI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:812-455-3933
Mailing Address - Street 1:5219 N COLLEGE AVE APT 701
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-3182
Mailing Address - Country:US
Mailing Address - Phone:812-455-3933
Mailing Address - Fax:
Practice Address - Street 1:10485 N MICHIGAN RD STE 150
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-7954
Practice Address - Country:US
Practice Address - Phone:317-875-7645
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-12
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental