Provider Demographics
NPI:1750869111
Name:HAAG, AARON CYRUS (DDS)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:CYRUS
Last Name:HAAG
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 1:7136 PAV WAY
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86314-2264
Mailing Address - Country:US
Mailing Address - Phone:402-202-8719
Mailing Address - Fax:
Practice Address - Street 1:2660 E COMMON ST STE 102
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3585
Practice Address - Country:US
Practice Address - Phone:830-625-1515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-29
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NED010053122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist