Provider Demographics
NPI:1588282669
Name:KUMAR, AMAN (DDS)
Entity type:Individual
Prefix:DR
First Name:AMAN
Middle Name:
Last Name:KUMAR
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 1:6 LORING BLVD APT 3138
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-7375
Mailing Address - Country:US
Mailing Address - Phone:315-624-6227
Mailing Address - Fax:
Practice Address - Street 1:300 TREMONT ST
Practice Address - Street 2:
Practice Address - City:CARVER
Practice Address - State:MA
Practice Address - Zip Code:02330-1758
Practice Address - Country:US
Practice Address - Phone:508-866-5550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-06
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0620971223G0001X
MADN18596531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice