Provider Demographics
NPI:1164680591
Name:VICKERS, AARON MONTGOMERY (DDS, MD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:MONTGOMERY
Last Name:VICKERS
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Gender:M
Credentials:DDS, MD
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Mailing Address - Street 1:651 CROSS TIMBERS ROAD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028
Mailing Address - Country:US
Mailing Address - Phone:972-436-1513
Mailing Address - Fax:972-436-0618
Practice Address - Street 1:651 CROSS TIMBERS ROAD
Practice Address - Street 2:SUITE 103
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028
Practice Address - Country:US
Practice Address - Phone:972-436-1513
Practice Address - Fax:972-436-0618
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2015-06-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX297951223S0112X, 1223S0112X
KY8607122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No122300000XDental ProvidersDentist