Provider Demographics
NPI:1649963489
Name:CALDER, AARON SAMUEL (DMD)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:SAMUEL
Last Name:CALDER
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 1:1400 BERLIN RD STE 132
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-3191
Mailing Address - Country:US
Mailing Address - Phone:856-216-9533
Mailing Address - Fax:
Practice Address - Street 1:1400 BERLIN RD STE 132
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-3191
Practice Address - Country:US
Practice Address - Phone:856-216-9533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI029740001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice