Provider Demographics
NPI:1447441241
Name:LAMASTER, AARON L (DDS)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:L
Last Name:LAMASTER
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 1:204 COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72120-4627
Mailing Address - Country:US
Mailing Address - Phone:501-835-2232
Mailing Address - Fax:501-835-2235
Practice Address - Street 1:123 N CENTER ST
Practice Address - Street 2:
Practice Address - City:LONOKE
Practice Address - State:AR
Practice Address - Zip Code:72086-2805
Practice Address - Country:US
Practice Address - Phone:501-676-6770
Practice Address - Fax:501-676-5147
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR36321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice