Healthcare Provider Details

I. General information

NPI: 1124267232
Provider Name (Legal Business Name): AARON JAMES COLBY DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2009
Last Update Date: 02/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6345 E BELL RD SUITE 1
SCOTTSDALE AZ
85254-6452
US

IV. Provider business mailing address

6345 E BELL RD SUITE 1
SCOTTSDALE AZ
85254-6452
US

V. Phone/Fax

Practice location:
  • Phone: 480-607-3600
  • Fax: 480-998-9289
Mailing address:
  • Phone: 480-607-3600
  • Fax: 480-998-9289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License NumberD7714
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number2006015357
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number2261
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: