Provider Demographics
NPI:1851968069
Name:ARANOV, REBECCA ASHLEY LORING (DDS)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ASHLEY LORING
Last Name:ARANOV
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6127 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSON
Mailing Address - State:NY
Mailing Address - Zip Code:14589-8001
Mailing Address - Country:US
Mailing Address - Phone:315-589-2813
Mailing Address - Fax:
Practice Address - Street 1:6127 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:WILLIAMSON
Practice Address - State:NY
Practice Address - Zip Code:14589-8001
Practice Address - Country:US
Practice Address - Phone:315-589-2813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-07
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0626331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice