Provider Demographics
NPI:1386252773
Name:WELCH, AARON ROBERT (DDS)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:ROBERT
Last Name:WELCH
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 1:1313 S CLARKSON ST STE C2
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-2283
Mailing Address - Country:US
Mailing Address - Phone:402-217-7613
Mailing Address - Fax:
Practice Address - Street 1:1313 S CLARKSON ST STE C2
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-2283
Practice Address - Country:US
Practice Address - Phone:402-217-7613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-21
Last Update Date:2021-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.002044241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty