Provider Demographics
NPI:1821543810
Name:ARONSON, ROSS (DDS, MS)
Entity Type:Individual
Prefix:
First Name:ROSS
Middle Name:
Last Name:ARONSON
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 GRAND ST UNIT 305
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:CT
Mailing Address - Zip Code:06801-2163
Mailing Address - Country:US
Mailing Address - Phone:914-497-2447
Mailing Address - Fax:
Practice Address - Street 1:650 CHASE PKWY STE 2
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06708-3049
Practice Address - Country:US
Practice Address - Phone:203-573-8034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-18
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC151085122300000X
CT130311223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No122300000XDental ProvidersDentist