Kelly Vaughn Dds Pc in Kennesaw - Dentist
Kelly Vaughn Dds Pc - NPI 1700057478
Kelly Vaughn Dds Pc is a Dentist in Kennesaw, Georgia. Kelly Vaughn Dds Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kelly Vaughn Dds Pc is 1700057478. The last update date is 2008-03-20.
Kelly Vaughn Dds Pc's current location address is 1610 Ridenour Blvd Nw, Kennesaw, Georgia. You can contact this provider via phone number 6785810063 and fax number 6785810246. The mailing address for Kelly Vaughn Dds Pc is 1610 Ridenour Blvd Nw, Kennesaw, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kelly Vaughn Dds Pc |
|---|---|
| Address | 1610 Ridenour Blvd Nw, Kennesaw, Georgia |
| Phone Number | 6785810063 |
| Fax Number | 6785810246 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE A |
|---|---|
| Authorized Official Name | Falvai L Anita |
| Telephone Number | 6785810063 |
NPI Number Detail
| NPI Number | 1700057478 |
|---|---|
| Provider Enumeration Date | 2008-03-20 |
| Last Updated Date | 2008-03-20 |
Provider Mailing Address Detail
| Address | 1610 Ridenour Blvd Nw |
|---|---|
| City | Kennesaw |
| State | Georgia (GA) |
| Post Code | 301524484 |
| Phone Number | 6785810063 |
| Fax Number | 6785810246 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN012608 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
|
Post Comment/ Review Below
What is the Kelly Vaughn Dds Pc's unique identification number?
The Kelly Vaughn Dds Pc has been assigned the NPI (National Provider Identifier) Number 1700057478 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Kelly Vaughn Dds Pc is physically located?
The Kelly Vaughn Dds Pc is physically situated at the following address: 1610 Ridenour Blvd Nw, Kennesaw, GA, 301524484.
What is Kelly Vaughn Dds Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kelly Vaughn Dds Pc is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1700057478 to Kelly Vaughn Dds Pc?
The Kelly Vaughn Dds Pc received its 1700057478 assignment from the Centers for Medicare & Medicaid Services on 2008-03-20.
When was the information regarding Kelly Vaughn Dds Pc most recently updated?
The details pertaining to the Kelly Vaughn Dds Pc, including its address, specialty, and other relevant information, were last refreshed on 2008-03-20.