Craig Ira Aronson, DDS

Individual provider Active NPI General Practice Dentistry · Orangeburg, NY

NPI 1215958699 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1215958699
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
41878 (NY)
Practice address
516 Route 303
Orangeburg, NY 10962-1309
Phone
(845) 359-2221
Fax
(845) 359-2243
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20181029001651 NY Order and Referring Only - Dentist
Practitioner - Dentist
6204189871

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
41878NYMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 41878 NY Yes

Addresses

Primary practice location

516 Route 303
Orangeburg, NY 10962-1309

Mailing address

516 Route 303
Orangeburg, NY 10962-1309
Phone (845) 359-2221

Other providers in Orangeburg, NY

All providers in Orangeburg, NY · General Practice Dentistry in New York

Sources for this page

Verify at the official NPI Registry.