Provider Demographics
NPI:1447424551
Name:JOHNSON, AARON ALMA (DDS)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:ALMA
Last Name:JOHNSON
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 1:2995 W ELLIOT RD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-1670
Mailing Address - Country:US
Mailing Address - Phone:480-775-8600
Mailing Address - Fax:480-775-0240
Practice Address - Street 1:2995 W ELLIOT RD
Practice Address - Street 2:SUITE #1
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-1670
Practice Address - Country:US
Practice Address - Phone:480-775-8600
Practice Address - Fax:480-775-0240
Is Sole Proprietor?:No
Enumeration Date:2008-04-18
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ46431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice