Provider Demographics
NPI:1497594089
Name:SAPP, AARON WILLIAM WALKER (DDS)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:WILLIAM WALKER
Last Name:SAPP
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 1:3040 NW 181ST ST
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-6824
Mailing Address - Country:US
Mailing Address - Phone:918-978-7883
Mailing Address - Fax:
Practice Address - Street 1:4508 MEMORIAL CIR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73142-5003
Practice Address - Country:US
Practice Address - Phone:405-946-6136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK78551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice