Allison Aufderhaar, DDS
Individual provider Active NPI Dentist · Ironton, OH
NPI 1659017002 · NPPES record last updated Apr 9, 2025
Key facts
- NPI
- 1659017002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 30.026789 (OH)
- Practice address
- 1408 Campbell Dr
Ironton, OH 45638-2301 - Phone
- (740) 534-9231
- NPI assigned
- May 9, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Dentist
- Education
- Ohio State University College of Dentistry, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
305 N 5TH St
Ironton, OH 45638-1578
PO Box
Suite 5478
Pawtucket, RI 02862
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260526000054 | OH | Practitioner - Dentist | 1658841259 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.026789 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ironton & Lawrence County Area Community Action Organization | Past | Accepting new patients | |
| Ironton & Lawrence County Area Community Action Organization | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30.026789 | OH | Yes |
Addresses
Primary practice location
1408 Campbell Dr
Ironton, OH 45638-2301
Mailing address
305 N 5TH St
Ironton, OH 45638-1578
Phone (740) 532-4858
Other practice location 1
2325 County Road 26 Unit C
Ironton, OH 45638-9075
Phone (740) 643-8688
NPI Registry JSON
{
"created_epoch": "1652054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1659017002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 N 5TH ST",
"city": "IRONTON",
"state": "OH",
"postal_code": "456381578",
"telephone_number": "740-532-4858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 CAMPBELL DR",
"city": "IRONTON",
"state": "OH",
"postal_code": "456382301",
"telephone_number": "740-534-9231"
}
],
"practiceLocations": [
{
"address_1": "2325 County Road 26 Unit C",
"address_purpose": "LOCATION",
"city": "Ironton",
"state": "OH",
"postal_code": "456389075",
"country_code": "US",
"telephone_number": "740-643-8688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AUFDERHAAR",
"first_name": "ALLISON",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-09",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.026789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ironton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.