Katherine Rose Vaughan, DDS | |
5625 Cenex Dr, Inver Grove Heights, MN 55077-1724 | |
(516) 552-1752 | |
Not Available |
Full Name | Katherine Rose Vaughan |
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Gender | Female |
Speciality | Dentist |
Location | 5625 Cenex Dr, Inver Grove Heights, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619350006 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D13579 (Minnesota) | Primary |
Entity Name | Group Health Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Mailing Address | Practice Location Address |
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Katherine Rose Vaughan, DDS 5625 Cenex Dr, Inver Grove Heights, MN 55077-1724 Ph: (516) 552-1752 | Katherine Rose Vaughan, DDS 5625 Cenex Dr, Inver Grove Heights, MN 55077-1724 Ph: (516) 552-1752 |
Rachel Lillian Pfahning, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5766 Blackshire Path, Inver Grove Heights, MN 55076 Phone: 651-457-8866 | |
Sydney Waterman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5350 S Robert Trl, Inver Grove Heights, MN 55077 Phone: 651-450-9579 | |
Dr. Patricia B Ura, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6105 Cahill Ave, Inver Grove Heights, MN 55076 Phone: 651-451-9101 Fax: 651-451-9887 | |
Steven Julius Benke, DDS Dentist Medicare: Medicare Enrolled Practice Location: 5972 Cahill Avenue, Suite 109, Inver Grove Heights, MN 55076 Phone: 651-450-1602 Fax: 651-450-1633 | |
Dr. Matthew E. Berven, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5972 Cahill Ave, Suite 104, Inver Grove Heights, MN 55076 Phone: 651-455-0068 Fax: 651-455-5133 | |
Dr. Nicholas Hoyt Berge, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6105 Cahill Ave, Inver Grove Heights, MN 55076 Phone: 651-451-9101 | |
Dr. Arthur A Broderson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6665 Cahill Ave, Inver Grove Heights, MN 55076 Phone: 651-455-1247 Fax: 651-455-8375 |