Provider Demographics
NPI:1598210130
Name:AUKERMAN, AIMEE
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:AUKERMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LOGISTICS AVE US ARMY DENTAL ACTIVITY BLDG M4861
Mailing Address - Street 2:
Mailing Address - City:FORT BRAGG
Mailing Address - State:NC
Mailing Address - Zip Code:28310-7302
Mailing Address - Country:US
Mailing Address - Phone:910-643-2196
Mailing Address - Fax:910-907-7904
Practice Address - Street 1:LOGISTICS AVE US ARMY DENTAL ACTIVITY BLDG M4861
Practice Address - Street 2:
Practice Address - City:FORT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28310-5582
Practice Address - Country:US
Practice Address - Phone:910-643-2196
Practice Address - Fax:910-907-7904
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04011415358122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist