Provider Demographics
NPI:1417377854
Name:NORMAN, AARON ANDREW (DDS)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:ANDREW
Last Name:NORMAN
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 1:2787 EUREKA WAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-0231
Mailing Address - Country:US
Mailing Address - Phone:530-243-5013
Mailing Address - Fax:530-243-0824
Practice Address - Street 1:2787 EUREKA WAY
Practice Address - Street 2:SUITE 200
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0231
Practice Address - Country:US
Practice Address - Phone:530-243-5013
Practice Address - Fax:530-243-0824
Is Sole Proprietor?:No
Enumeration Date:2014-04-24
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA633601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice