Provider Demographics
NPI:1336363159
Name:BARRY N AAB DDS AND DANIEL G. MAKUH DDS LLC
Entity Type:Organization
Organization Name:BARRY N AAB DDS AND DANIEL G. MAKUH DDS LLC
Other - Org Name:AUGLAIZE DENTAL ASSOCIATES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:NORMAN
Authorized Official - Last Name:AAB
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:419-738-7373
Mailing Address - Street 1:1101 DEFIANCE ST
Mailing Address - Street 2:
Mailing Address - City:WAPAKONETA
Mailing Address - State:OH
Mailing Address - Zip Code:45895-1058
Mailing Address - Country:US
Mailing Address - Phone:419-738-7373
Mailing Address - Fax:419-739-7565
Practice Address - Street 1:1101 DEFIANCE ST
Practice Address - Street 2:
Practice Address - City:WAPAKONETA
Practice Address - State:OH
Practice Address - Zip Code:45895-1058
Practice Address - Country:US
Practice Address - Phone:419-738-7373
Practice Address - Fax:419-739-7565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH146351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty