=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518371442
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AARON M VICKERS DDS MD PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/18/2014
-----------------------------------------------------
Last Update Date | 08/20/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 651 CROSS TIMBERS RD SUITE 103
-----------------------------------------------------
City | FLOWER MOUND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75028-1300
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-436-1513
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 651 CROSS TIMBERS RD SUITE 103
-----------------------------------------------------
City | FLOWER MOUND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75028-1300
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-436-1513
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEMBER
-----------------------------------------------------
Name | AARON VICKERS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 972-436-1513
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223S0112X
-----------------------------------------------------
Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
-----------------------------------------------------
License Number | 29795
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------