Provider Demographics
NPI:1871728279
Name:AHRON, DANA LIBBY (DMD)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:LIBBY
Last Name:AHRON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:DANA
Other - Middle Name:LIBBY
Other - Last Name:KAPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:338 MAIN ST UNIT 5F
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-2185
Mailing Address - Country:US
Mailing Address - Phone:312-498-7726
Mailing Address - Fax:
Practice Address - Street 1:4135 BLACKHAWK PLAZA CIR STE 260
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94506
Practice Address - Country:US
Practice Address - Phone:925-837-7745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-28
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019034366221223P0221X
NY0544761223P0221X
CADDS643681223P0221X
CT0100211223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry