| Michael D. Vaughan, Dds, Plc | |
|
2125 Blakemore Ave Nashville TN 37212-3505 | |
| (615) 383-3690 | |
| (615) 383-3697 |
| Full Name | Michael D. Vaughan, Dds, Plc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2125 Blakemore Ave, Nashville, Tennessee |
| Authorized Official Name and Position | Michael Darren Vaughan (OWNER) |
| Authorized Official Contact | 6153833690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D. Vaughan, Dds, Plc 2125 Blakemore Ave Nashville TN 37212-3505 Ph: (615) 383-3690 | Michael D. Vaughan, Dds, Plc 2125 Blakemore Ave Nashville TN 37212-3505 Ph: (615) 383-3690 |
| NPI Number | 1730502444 |
|---|---|
| Provider Enumeration Date | 01/31/2014 |
| Last Update Date | 01/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730502444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 005342 (Tennessee) | Primary |
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