Provider Demographics
NPI:1457715716
Name:MERTZ, AARON (DMD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:
Last Name:MERTZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 BOON BLVD
Mailing Address - Street 2:
Mailing Address - City:NEILLSVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:54456-2176
Mailing Address - Country:US
Mailing Address - Phone:800-782-8581
Mailing Address - Fax:
Practice Address - Street 1:8 BOON BLVD
Practice Address - Street 2:
Practice Address - City:NEILLSVILLE
Practice Address - State:WI
Practice Address - Zip Code:54456-2176
Practice Address - Country:US
Practice Address - Phone:715-743-1900
Practice Address - Fax:715-743-5036
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-12
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1001336-15122300000X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist