Provider Demographics
NPI:1801460332
Name:TITELMAN, ARON KEVIN (DDS)
Entity type:Individual
Prefix:
First Name:ARON
Middle Name:KEVIN
Last Name:TITELMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7236 112TH ST APT 202
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5454
Mailing Address - Country:US
Mailing Address - Phone:718-536-4205
Mailing Address - Fax:
Practice Address - Street 1:3915 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-1565
Practice Address - Country:US
Practice Address - Phone:347-590-9910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-19
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0630731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice