Healthcare Provider Details
I. General information
NPI: 1932567690
Provider Name (Legal Business Name): AARON BELLIS DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/09/2016
Last Update Date: 08/18/2020
Certification Date: 08/18/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8751 E HAMPDEN AVE STE C6
DENVER CO
80231-4930
US
IV. Provider business mailing address
8751 E HAMPDEN AVE STE C6
DENVER CO
80231-4930
US
V. Phone/Fax
- Phone: 303-755-4003
- Fax:
- Phone: 303-755-4003
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223P0700X |
| Taxonomy | Prosthodontics |
| License Number | 00204123 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: