Provider Demographics
NPI:1861670366
Name:ARONSON, SHELLEY RANE (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:SHELLEY
Middle Name:RANE
Last Name:ARONSON
Suffix:
Gender:F
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 1:502 SE MOCKINGBIRD DR
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:99324-1864
Mailing Address - Country:US
Mailing Address - Phone:509-525-2037
Mailing Address - Fax:
Practice Address - Street 1:502 SE MOCKINGBIRD DR
Practice Address - Street 2:
Practice Address - City:COLLEGE PLACE
Practice Address - State:WA
Practice Address - Zip Code:99324-1864
Practice Address - Country:US
Practice Address - Phone:509-525-2037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE88381223E0200X
CA330591223E0200X
ORD 95521223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics