Provider Demographics
NPI:1386456796
Name:AARON D CLOWARD
Entity type:Organization
Organization Name:AARON D CLOWARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:D
Authorized Official - Last Name:CLOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:801-794-1834
Mailing Address - Street 1:83 W 900 N
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84660-1161
Mailing Address - Country:US
Mailing Address - Phone:801-794-1834
Mailing Address - Fax:801-794-2045
Practice Address - Street 1:83 W 900 N
Practice Address - Street 2:
Practice Address - City:SPANISH FORK
Practice Address - State:UT
Practice Address - Zip Code:84660-1161
Practice Address - Country:US
Practice Address - Phone:801-794-1834
Practice Address - Fax:801-794-2045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental