Provider Demographics
NPI:1073927919
Name:RUHLIG, AARON VAUGHAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:VAUGHAN
Last Name:RUHLIG
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 1:1134 E GANSON ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49201-1844
Mailing Address - Country:US
Mailing Address - Phone:734-891-7915
Mailing Address - Fax:
Practice Address - Street 1:1134 E GANSON ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201-1844
Practice Address - Country:US
Practice Address - Phone:734-891-7915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010212311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice