Provider Demographics
NPI:1548499353
Name:EUGENE L. AARON, D.D.S., P.A.
Entity type:Organization
Organization Name:EUGENE L. AARON, D.D.S., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:L
Authorized Official - Last Name:AARON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-332-1919
Mailing Address - Street 1:2095 W MAIN ST
Mailing Address - Street 2:STE. A
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-3581
Mailing Address - Country:US
Mailing Address - Phone:281-332-1919
Mailing Address - Fax:281-554-7525
Practice Address - Street 1:2095 W MAIN ST
Practice Address - Street 2:STE. A
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-3581
Practice Address - Country:US
Practice Address - Phone:281-332-1919
Practice Address - Fax:281-554-7525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty