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Petr Alexander Vaughan
Pediatric Dentist in Cincinnati, Ohio
NPI 1316576556

Petr Alexander Vaughan is a Pediatric Dentist based in Cincinnati, OH and is specialized in Pediatric Dentistry. Petr Alexander Vaughan practices in Cincinnati, OH. The NPI Number for Petr Alexander Vaughan is 1316576556 and holds a License No. (Ohio).

The current practice location address for Petr Alexander Vaughan is 3333 Burnet Ave, Cincinnati, OH and can be reached out via phone at 937-245-0390.

Location: 3333 Burnet Ave, Cincinnati, OH, 45208-2414
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316576556
Provider Name
Petr Alexander Vaughan
Credential
Provider Entity Type
Individual
Gender
Male
Address
3333 Burnet Ave, Cincinnati, OH, 45208-2414
Phone Number
937-245-0390
Fax Number
Provider Enumeration Date
04/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3333 Burnet Ave
City
Cincinnati
State
Ohio
Zip
45229-3026
Phone Number
937-245-0390
Fax Number
person
Provider Business Mailing Address Details
Address
3333 Burnet Ave
City
Cincinnati
State
Ohio
Zip
45229-3026
Phone Number
937-245-0390
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
30026130 (Ohio)
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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