Individual
DR. RYAN MICHAEL VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1207 SHERWOOD PARK DR NE, GAINESVILLE, GA 30501-3444
(770) 862-2396
Mailing address
1207 SHERWOOD PARK DR NE, GAINESVILLE, GA 30501-3444
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013562
GA
122300000X
Dentist
DN014424
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003175666B
—
GA
05
—
801406612B
—
GA
Enumeration date
07/19/2007
Last updated
06/21/2021
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