Individual
AARON DENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
515 COWAN DR, LEBANON, MO 65536-4604
(417) 533-6545
Mailing address
1029 CASTLE ROCK AVE, LEBANON, MO 65536-1764
(636) 578-0067
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2007001556
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376609958
—
MO
01
—
431560263
TRICARE
MO
01
—
P01085136
MCR RR
MO
Enumeration date
12/28/2006
Last updated
08/15/2016
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