Provider Demographics
NPI:1477922946
Name:AARON U. ADAMSON, DMD, LTD
Entity Type:Organization
Organization Name:AARON U. ADAMSON, DMD, LTD
Other - Org Name:MOUNTAINSIDE ORAL & MAXILLOFACIAL SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:URBAN
Authorized Official - Last Name:ADAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:775-826-7833
Mailing Address - Street 1:290 BRINKBY AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-4348
Mailing Address - Country:US
Mailing Address - Phone:775-826-7833
Mailing Address - Fax:775-826-6017
Practice Address - Street 1:290 BRINKBY AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-4348
Practice Address - Country:US
Practice Address - Phone:775-826-7833
Practice Address - Fax:775-826-6017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-15
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVS2-134C1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty