Provider Demographics
NPI:1023636628
Name:AARON J KROEMER DDS PC
Entity type:Organization
Organization Name:AARON J KROEMER DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:KROEMER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:616-642-9478
Mailing Address - Street 1:54 S BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:SARANAC
Mailing Address - State:MI
Mailing Address - Zip Code:48881-8612
Mailing Address - Country:US
Mailing Address - Phone:616-642-9478
Mailing Address - Fax:
Practice Address - Street 1:54 S BRIDGE ST
Practice Address - Street 2:
Practice Address - City:SARANAC
Practice Address - State:MI
Practice Address - Zip Code:48881-8612
Practice Address - Country:US
Practice Address - Phone:616-642-9478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-09
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental