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NPI Code Detail

MEDICARE: AUBRYANE AJA DEARMAS DDS

MEDICARE: AUBRYANE AJA DEARMAS DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry2025033629MO

General Provider Information

NPI Number : 1902506637
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUBRYANE AJA DEARMAS DDS
Provider Business Mailing Address
First Line : 1800 COMMUNITY
Second Line :
City : CLINTON
State : MO
Zip : 64735-8804
Country : US
Telephone Number : 660-885-8131
Fax Number :
Provider Business Practice Location Address
First Line : 303 N KEENE ST STE 202
Second Line :
City : COLUMBIA
State : MO
Zip : 65201-8052
Country : US
Telephone Number : 844-853-8937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2023
Last Update Date : 08/14/2025

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