Provider Demographics
NPI:1962938605
Name:SEUBERT, AARON C (DDS)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:C
Last Name:SEUBERT
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 1:925 E WELLS ST
Mailing Address - Street 2:APT. 222
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53202-3900
Mailing Address - Country:US
Mailing Address - Phone:262-527-5655
Mailing Address - Fax:
Practice Address - Street 1:925 E WELLS ST
Practice Address - Street 2:APT. 222
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202-3900
Practice Address - Country:US
Practice Address - Phone:262-527-5655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-01
Last Update Date:2017-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
WI1001609-15122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program