Provider Demographics
NPI:1306332614
Name:GATES, AARON W (DDS)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:W
Last Name:GATES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8640 GUILFORD RD STE 237
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-3157
Mailing Address - Country:US
Mailing Address - Phone:410-290-8040
Mailing Address - Fax:
Practice Address - Street 1:8640 GUILFORD RD STE 237
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-3157
Practice Address - Country:US
Practice Address - Phone:410-290-8040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-10
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16478122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty