Provider Demographics
NPI:1265582696
Name:WARD, AARON (DMD)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:WARD
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 1:3590 HARRISON BLVD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-2060
Mailing Address - Country:US
Mailing Address - Phone:801-394-6651
Mailing Address - Fax:801-394-2557
Practice Address - Street 1:3590 HARRISON BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-2060
Practice Address - Country:US
Practice Address - Phone:801-394-6651
Practice Address - Fax:801-394-2557
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK59141223G0001X
UT6242369-99211223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No1223G0001XDental ProvidersDentistGeneral Practice