# KENNETH D. VAUGHN DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295140622
- **Authorized official:** MR. KENNETH DEAN VAUGHN D.D.S. (OWNER)
- **Authorized official phone:** (775) 626-7772

## Contact information

- **Practice address:** 5901 S LOS ALTOS PKWY, SUITE 100, SPARKS, NV 89436-8616
- **Practice address phone:** (775) 626-7772
- **Mailing address:** 5901 S LOS ALTOS PKWY, SUITE 100, SPARKS, NV 89436-8616
- **Mailing address phone:** (775) 626-7772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2537 | NV | Yes |

## Other

- **Enumeration date:** 06/24/2014
- **Last updated:** 06/24/2014