Individual
DR. JACK AUGHENBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1144 E MAIN ST, HEGINS, PA 17938-9091
(570) 682-8143
Mailing address
1144 E MAIN ST, PO BOX 369, HEGINS, PA 17938-9091
(570) 682-8143
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-022224-L
PA
Other
Enumeration date
01/23/2006
Last updated
07/08/2007
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