Provider Demographics
NPI:1851121552
Name:ARAMOON, PIYOM (DDS)
Entity type:Individual
Prefix:
First Name:PIYOM
Middle Name:
Last Name:ARAMOON
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 1:4545 WORNALL RD APT 1107
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-3232
Mailing Address - Country:US
Mailing Address - Phone:913-709-9411
Mailing Address - Fax:
Practice Address - Street 1:6262 NW BARRY RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64154-2530
Practice Address - Country:US
Practice Address - Phone:816-705-5996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024029608122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist