Provider Demographics
NPI:1942233812
Name:HALL, AARON C (DMD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:C
Last Name:HALL
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 1:1442 DRAPER PKWY
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-9388
Mailing Address - Country:US
Mailing Address - Phone:801-571-9555
Mailing Address - Fax:801-571-9787
Practice Address - Street 1:1442 DRAPER PKWY
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-9388
Practice Address - Country:US
Practice Address - Phone:801-571-9555
Practice Address - Fax:801-571-9787
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT567057599221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice