National Provider Identifier

Michele Vaughn

Michele Vaughn is listed in the NPPES registry with a primary specialty of Dentist in Grand Island, NY and a listed phone number of (716) 583-2922.

NPI 1952697450Grand Island, NYDentist

Profile Overview

NPI
1952697450
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
June 22, 2011
Last Updated
January 04, 2016

Practice Location

  • 2167 Fix RD
  • Grand Island, NY 14072-2547

Phone: (716) 583-2922

Specialties

  • Dentist (122300000X)
Full Record
NPI
1952697450
Entity Type
Individual
Last Name
Vaughn
First Name
Michele
Mailing Street Address
2167 Fix RD
Mailing City
Grand Island
Mailing State
NY
Mailing ZIP Code
14072-2547
Mailing Country
US
Mailing Phone
(716) 583-2922
Practice Street Address
2167 Fix RD
Practice City
Grand Island
Practice State
NY
Practice ZIP Code
14072-2547
Practice Country
US
Practice Phone
(716) 583-2922
Enumeration Date
June 22, 2011
Last Updated
January 04, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X)