| David A Vaughan Dds Pa | |
|
1250 Forest Ave Portland ME 04103 | |
| (207) 878-6693 | |
| (207) 878-6678 |
| Full Name | David A Vaughan Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 1250 Forest Ave, Portland, Maine |
| Authorized Official Name and Position | David A Vaughan (PRESIDENT OWNER) |
| Authorized Official Contact | 2078786693 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David A Vaughan Dds Pa 1250 Forest Ave Portland ME 04103 Ph: (207) 878-6693 | David A Vaughan Dds Pa 1250 Forest Ave Portland ME 04103 Ph: (207) 878-6693 |
| NPI Number | 1407809403 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407809403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3160 (Maine) | Primary |
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