Provider Demographics
NPI:1366757940
Name:TAFF, AARON CAMERON (DDS)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:CAMERON
Last Name:TAFF
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 1:204 MCCOLLUM ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LARAMIE
Mailing Address - State:WY
Mailing Address - Zip Code:82070-5103
Mailing Address - Country:US
Mailing Address - Phone:307-745-8016
Mailing Address - Fax:307-745-7913
Practice Address - Street 1:204 MCCOLLUM ST
Practice Address - Street 2:SUITE 202
Practice Address - City:LARAMIE
Practice Address - State:WY
Practice Address - Zip Code:82070-5103
Practice Address - Country:US
Practice Address - Phone:307-745-8016
Practice Address - Fax:307-745-7913
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-08
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY1249122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist