Ty Bradley Vaughan in Gresham - Endodontics
Ty Bradley Vaughan - NPI 1558526368
Ty Bradley Vaughan is a Endodontics in Gresham, Oregon. Ty Bradley Vaughan practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Ty Bradley Vaughan is 1558526368. The last update date is 2016-08-03.
Ty Bradley Vaughan's current location address is 320 Ne 5th St, Gresham, Oregon. You can contact this provider via phone number 5036650495 and fax number 5036749196. The mailing address for Ty Bradley Vaughan is 320 Ne 5th St, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ty Bradley Vaughan |
|---|---|
| Address | 320 Ne 5th St, Gresham, Oregon |
| Phone Number | 5036650495 |
| Fax Number | 5036749196 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1558526368 |
|---|---|
| Provider Enumeration Date | 2008-07-21 |
| Last Updated Date | 2016-08-03 |
Provider Mailing Address Detail
| Address | 320 Ne 5th St |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 970307308 |
| Phone Number | 5036650495 |
| Fax Number | 5036749196 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | D9588 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique 10-digit identification code issued to Ty Bradley Vaughan by the Centers for Medicare & Medicaid Services?
The Ty Bradley Vaughan has been assigned the NPI (National Provider Identifier) 1558526368 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Ty Bradley Vaughan is geographically located?
The Ty Bradley Vaughan is physically situated at the following location: 320 Ne 5Th St, Gresham, OR, 970307308.
What is the Ty Bradley Vaughan's specialty and taxonomy code?
The Ty Bradley Vaughan's specialty is Endodontics, and the corresponding taxonomy code is 1223E0200X.
On what date did the Ty Bradley Vaughan receive the assignment of its 1558526368 from the Centers for Medicare & Medicaid Services?
The Ty Bradley Vaughan was issued its 1558526368 by the Centers for Medicare & Medicaid Services on 2008-07-21.
As of what date were the details pertaining to Ty Bradley Vaughan last refreshed?
The information related to the Ty Bradley Vaughan, including its address, specialty, and other relevant details, was last updated on 2016-08-03.