Individual provider · Type 1 NPI

Aishwarya Indiramohan, DDS

Pediatric Dentistry · Springfield, IL

NPI number 1881949592 Active

Practice location

802 N 9th St
Springfield, IL 62702-6309

Fax (847) 496-7603

Mailing address

5700 Edwards Ranch Rd Ste 100
Fort Worth, TX 76109-4128

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X019.029137 (IL)
Pediatric Dentistry Primary 1223P0221X31773 (TX)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

15 other providers at this address

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About NPI 1881949592

Aishwarya Indiramohan, DDS's National Provider Identifier is 1881949592, issued on Jul 18, 2012. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Springfield, IL. The record was last updated on Jun 9, 2021.