Provider Demographics
NPI:1265632236
Name:BROOKS, AARON JAMES (DMD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:JAMES
Last Name:BROOKS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31401 PACIFIC HWY S
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-5403
Mailing Address - Country:US
Mailing Address - Phone:253-839-1007
Mailing Address - Fax:253-839-1007
Practice Address - Street 1:31401 PACIFIC HWY
Practice Address - Street 2:
Practice Address - City:SOUTH FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-5403
Practice Address - Country:US
Practice Address - Phone:253-839-1007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE00010991122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist