Provider Demographics
NPI:1427104389
Name:STUDER, AARON C (DDS)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:C
Last Name:STUDER
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 1:333 WEST BLVD
Mailing Address - Street 2:SUITE 300 A
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-2670
Mailing Address - Country:US
Mailing Address - Phone:605-343-5415
Mailing Address - Fax:
Practice Address - Street 1:333 WEST BLVD
Practice Address - Street 2:3RD FLOOR
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-2670
Practice Address - Country:US
Practice Address - Phone:605-343-5415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDM9321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice