Provider Demographics
NPI:1194883744
Name:DEGARMO, AARON
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:DEGARMO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 KENDALL DR
Mailing Address - Street 2:
Mailing Address - City:LAMAR
Mailing Address - State:CO
Mailing Address - Zip Code:81052-3940
Mailing Address - Country:US
Mailing Address - Phone:719-336-8445
Mailing Address - Fax:719-336-0265
Practice Address - Street 1:280 COLFAX AVE., UNIT 1
Practice Address - Street 2:
Practice Address - City:BENNETT
Practice Address - State:CO
Practice Address - Zip Code:80102
Practice Address - Country:US
Practice Address - Phone:303-644-5058
Practice Address - Fax:303-644-5270
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9784122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist