| Organization Name: | JACK AUGHENBAUGH DDS, PC |
| NPI Number: | 1285856823 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JACK A AUGHENBAUGH (OWNER) |
| Mailing Address: | 1144 East Main Street Hegins |
| State: | PA US |
| Postal Code: | 17938 |
| Phone Number: | 5706828143 |
| Fax Number: | 5706828630 |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | DS022224-L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |