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Dr. Randy T Vaughan, DDS
General Practice Dentistry in Charleston, South Carolina
NPI 1407057037

Randy T Vaughan is a General Practice Dentistry based in Charleston, SC and is specialized in General Practice. Randy T Vaughan practices in Charleston, SC and has the professional credentials of DDS. The NPI Number for Randy T Vaughan is 1407057037 and holds a License No. 019-019582 (South Carolina).

The current practice location address for Randy T Vaughan is 109 Bee St, Charleston, SC and can be reached out via phone at 843-577-5011.

Location: 109 Bee St, Charleston, SC, 29401-5703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407057037
Provider Name
Randy T Vaughan
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
109 Bee St, Charleston, SC, 29401-5703
Phone Number
843-577-5011
Fax Number
Provider Enumeration Date
05/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36-3902095 01 IL TAX I.D. NUMBER
institution
Provider Business Practice Location Address Details
Address
109 Bee St
City
Charleston
State
South Carolina
Zip
29401-5703
Phone Number
843-577-5011
Fax Number
person
Provider Business Mailing Address Details
Address
109 Bee St
City
Charleston
State
South Carolina
Zip
29401-5703
Phone Number
843-577-5011
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019-019582 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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