Vaughn Elliot Brummer in Madisonville - Pediatric Dentistry
Vaughn Elliot Brummer - NPI 1548335433
Vaughn Elliot Brummer is a Pediatric Dentistry in Madisonville, Kentucky. Vaughn Elliot Brummer practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Vaughn Elliot Brummer is 1548335433. The last update date is 2014-02-24.
Vaughn Elliot Brummer's current location address is 1400 Pride Avenue, Madisonville, Kentucky. You can contact this provider via phone number 2708217386 and fax number 2708217401. The mailing address for Vaughn Elliot Brummer is 1400 Pride Avenue, Madisonville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vaughn Elliot Brummer |
|---|---|
| Address | 1400 Pride Avenue, Madisonville, Kentucky |
| Phone Number | 2708217386 |
| Fax Number | 2708217401 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1548335433 |
|---|---|
| Provider Enumeration Date | 2006-11-24 |
| Last Updated Date | 2014-02-24 |
Provider Mailing Address Detail
| Address | 1400 Pride Avenue |
|---|---|
| City | Madisonville |
| State | Kentucky (KY) |
| Post Code | 424319108 |
| Phone Number | 2708217386 |
| Fax Number | 2708217401 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 7957 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 60002219 | KY | -- | |
| 45002789 | KY | -- |
Post Comment/ Review Below
Could you provide the complete address where Vaughn Elliot Brummer is physically located?
The Vaughn Elliot Brummer is situated at the following address: 1400 Pride Avenue, Madisonville, KY 424319108.
Could you please share the complete physical location address where Vaughn Elliot Brummer's facilities are situated?
The facilities of Vaughn Elliot Brummer are physically located at the following address: 1400 Pride Avenue, Madisonville, KY, 424319108.
What is Vaughn Elliot Brummer's specialized field of practice, and what is the corresponding taxonomy classification code?
The Vaughn Elliot Brummer's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date did the Vaughn Elliot Brummer receive the assignment of its 1548335433 from the Centers for Medicare & Medicaid Services?
The Vaughn Elliot Brummer was issued its 1548335433 by the Centers for Medicare & Medicaid Services on 2006-11-24.
When was the information regarding Vaughn Elliot Brummer most recently updated?
The details pertaining to the Vaughn Elliot Brummer, including its address, specialty, and other relevant information, were last refreshed on 2014-02-24.