Provider Demographics
NPI:1437119484
Name:ENGELS, AARON WAYNE (DDS)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:WAYNE
Last Name:ENGELS
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 1:12229 MONTCLAIR BND
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78732-1229
Mailing Address - Country:US
Mailing Address - Phone:512-269-6374
Mailing Address - Fax:
Practice Address - Street 1:12229 MONTCLAIR BND
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78732-1229
Practice Address - Country:US
Practice Address - Phone:512-269-6374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX206621223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry