Healthcare Provider Details

I. General information

NPI: 1477922946
Provider Name (Legal Business Name): AARON U. ADAMSON, DMD, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2015
Last Update Date: 09/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

290 BRINKBY AVE SUITE 1
RENO NV
89509-4348
US

IV. Provider business mailing address

290 BRINKBY AVE SUITE 1
RENO NV
89509-4348
US

V. Phone/Fax

Practice location:
  • Phone: 775-826-7833
  • Fax: 775-826-6017
Mailing address:
  • Phone: 775-826-7833
  • Fax: 775-826-6017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberS2-134C
License Number StateNV

VIII. Authorized Official

Name: DR. AARON URBAN ADAMSON
Title or Position: OWNER
Credential: DMD
Phone: 775-826-7833