Provider Demographics
NPI:1639493281
Name:ADAMSON, AARON URBAN (DMD)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:URBAN
Last Name:ADAMSON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2453 GRANITE SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89519-7365
Mailing Address - Country:US
Mailing Address - Phone:925-997-3496
Mailing Address - Fax:
Practice Address - Street 1:290 BRINKBY AVE
Practice Address - Street 2:STE. 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
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-24
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7670479-99211223S0112X
CA631891223S0112X
NVS2-134C1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery