Provider Demographics
NPI:1326166711
Name:REEVES, AARON P (DMD)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:P
Last Name:REEVES
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 1:9565 LAGUNA SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-7961
Mailing Address - Country:US
Mailing Address - Phone:916-683-7645
Mailing Address - Fax:916-683-4004
Practice Address - Street 1:9565 LAGUNA SPRINGS DR
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-7961
Practice Address - Country:US
Practice Address - Phone:916-683-7645
Practice Address - Fax:916-683-4004
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA477851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice