Aishwarya Indiramohan, DDS

Pediatric Dentistry · Springfield, IL

Individual Active NPI

NPI number 1881949592

Practice location

802 N 9TH St
Springfield, IL 62702-6309
Phone
(888) 988-4066
Fax
(847) 496-7603

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NPI record

NPI
1881949592
Entity type
Individual (Type 1)
Enumeration date
July 18, 2012
Last updated
June 9, 2021
Certified
June 9, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X 31773 TX
Dentist 122300000X 019.029137 IL

Mailing address

5700 Edwards Ranch Rd Ste 100
Fort Worth, TX 76109-4128
Phone
(817) 292-2004
Fax
(178) 292-7083

About Dr. Indiramohan

Aishwarya Indiramohan, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 802 N 9TH St, Springfield, IL 62702-6309. The NPI number 1881949592 was assigned on July 18, 2012 and the record was last updated on June 9, 2021.

Dr. Indiramohan lists 2 licenses in the registry: #31773 (TX) for Pediatric Dentistry; #019.029137 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Aishwarya Indiramohan, DDS?

The NPI number is 1881949592.

What is the phone number of Dr. Indiramohan?

The phone number listed for the practice location is (888) 988-4066.

Where is Dr. Indiramohan located?

802 N 9TH St, Springfield, IL 62702-6309.

What is the taxonomy code for Dr. Indiramohan?

The primary taxonomy code is 1223P0221X – Pediatric Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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