Provider Demographics
NPI:1780753004
Name:AUGHENBAUGH, JOHN REES (DDS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:REES
Last Name:AUGHENBAUGH
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 1:34501 AURORA RD
Mailing Address - Street 2:#208
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139
Mailing Address - Country:US
Mailing Address - Phone:440-248-2323
Mailing Address - Fax:440-248-5102
Practice Address - Street 1:34501 AURORA RD
Practice Address - Street 2:#208
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139
Practice Address - Country:US
Practice Address - Phone:440-248-2323
Practice Address - Fax:440-248-5102
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH15061122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist