Provider Demographics
NPI:1871819649
Name:AJS DENTAL, LLC
Entity Type:Organization
Organization Name:AJS DENTAL, LLC
Other - Org Name:SAUER DENTISTRY OF CENTER GROVE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:317-865-1234
Mailing Address - Street 1:704 S STATE ROAD 135
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-6561
Mailing Address - Country:US
Mailing Address - Phone:317-865-1234
Mailing Address - Fax:
Practice Address - Street 1:704 S STATE ROAD 135
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-6561
Practice Address - Country:US
Practice Address - Phone:317-865-1234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN120108511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty