Provider Demographics
NPI:1184702169
Name:ARIS, JAMES THEODORE (DMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:THEODORE
Last Name:ARIS
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:PO BOX 15
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:CT
Mailing Address - Zip Code:06897-0015
Mailing Address - Country:US
Mailing Address - Phone:203-762-5100
Mailing Address - Fax:203-762-2590
Practice Address - Street 1:436 DANBURY RD
Practice Address - Street 2:THE CANNON HOUSE
Practice Address - City:WILTON
Practice Address - State:CT
Practice Address - Zip Code:06897-2023
Practice Address - Country:US
Practice Address - Phone:203-762-5100
Practice Address - Fax:203-762-2590
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0076711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice