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Dr. Vaughn Elliot Brummer, DDS
Pediatric Dentist in Madisonville, Kentucky
NPI 1548335433

Vaughn Elliot Brummer is a Pediatric Dentist based in Madisonville, KY and is specialized in Pediatric Dentistry. Vaughn Elliot Brummer practices in Madisonville, KY and has the professional credentials of DDS. The NPI Number for Vaughn Elliot Brummer is 1548335433 and holds a License No. 7957 (Kentucky).

The current practice location address for Vaughn Elliot Brummer is 1400 Pride Avenue, Madisonville, KY and can be reached out via phone at 270-821-7386 and via fax at 270-821-7401.

Location: 1400 Pride Avenue, Madisonville, KY, 42431-9108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548335433
Provider Name
Vaughn Elliot Brummer
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1400 Pride Avenue, Madisonville, KY, 42431-9108
Phone Number
270-821-7386
Fax Number
270-821-7401
Provider Enumeration Date
11/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60002219 05 KY
45002789 05 KY
institution
Provider Business Practice Location Address Details
Address
1400 Pride Avenue
City
Madisonville
State
Kentucky
Zip
42431-9108
Phone Number
270-821-7386
Fax Number
270-821-7401
person
Provider Business Mailing Address Details
Address
1400 Pride Avenue
City
Madisonville
State
Kentucky
Zip
42431-9108
Phone Number
270-821-7386
Fax Number
270-821-7401
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
7957 (Kentucky)
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.
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