# KEITH E. VAUGHAN, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ATLANTIC DENTAL CARE, PLC
- **Other names:** a division of Atlantic Dental Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285007633
- **Legal business name:** ATLANTIC DENTAL CARE, PLC
- **Authorized official:** DR. KEITH E. VAUGHAN DDS (DENTIST)
- **Authorized official phone:** (757) 898-3366

## Contact information

- **Practice address:** 6521 GEORGE WASHINGTON MEM HWY, YORKTOWN, VA 23692-2169
- **Practice address phone:** (757) 898-3366
- **Practice address fax:** (757) 898-7390
- **Mailing address:** 6521 GEORGE WASHINGTON MEM HWY, P.O. BOX 1207, YORKTOWN, VA 23692-2169
- **Mailing address phone:** (757) 898-3366
- **Mailing address fax:** (757) 898-7390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401412135 | VA | Yes |

## Other

- **Enumeration date:** 11/06/2015
- **Last updated:** 11/06/2015