| Organization Name: | DR JOSEPH G VAUGHAN DDS INC. |
| NPI Number: | 1225149362 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE RENEE BOSTIC (BUSINESS COORDINATOR) |
| Mailing Address: | 294 Seneca Trl Ronceverte |
| State: | WV US |
| Postal Code: | 249701342 |
| Phone Number: | 3046452333 |
| Fax Number: | 3046475932 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 3268 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |