Provider Demographics
NPI:1396736310
Name:ARORA, AMANDEEP (DDS)
Entity type:Individual
Prefix:DR
First Name:AMANDEEP
Middle Name:
Last Name:ARORA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8195 OSWEGO RD
Mailing Address - Street 2:
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13090-1521
Mailing Address - Country:US
Mailing Address - Phone:315-409-4481
Mailing Address - Fax:315-409-4481
Practice Address - Street 1:8195 OSWEGO RD
Practice Address - Street 2:
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13090-1521
Practice Address - Country:US
Practice Address - Phone:315-409-4481
Practice Address - Fax:315-442-1082
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0471751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01773817Medicaid