MEDICARE: AARON M ATWOOD DMD

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
1	122300000X	Dentist	5795	NV

General Provider Information

NPI Number	:	1467692228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON M ATWOOD DMD

Provider Business Mailing Address
First Line	:	340 E WARM SPRINGS RD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4283
Country	:	US
Telephone Number	:	725-765-9500
Fax Number	:	702-228-4106

Provider Business Practice Location Address
First Line	:	340 E WARM SPRINGS RD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4283
Country	:	US
Telephone Number	:	725-765-9500
Fax Number	:	702-228-4106

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2009
Last Update Date	:	03/30/2026

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