| Dr Joseph G Vaughan Dds Inc. | |
|
294 Seneca Trl Ronceverte WV 24970-1342 | |
| (304) 645-2333 | |
| (304) 647-5932 |
| Full Name | Dr Joseph G Vaughan Dds Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 294 Seneca Trl, Ronceverte, West Virginia |
| Authorized Official Name and Position | Michelle Renee Bostic (BUSINESS COORDINATOR) |
| Authorized Official Contact | 3046452333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph G Vaughan Dds Inc. 294 Seneca Trl Ronceverte WV 24970-1342 Ph: (304) 645-2333 | Dr Joseph G Vaughan Dds Inc. 294 Seneca Trl Ronceverte WV 24970-1342 Ph: (304) 645-2333 |
| NPI Number | 1225149362 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225149362 | NPI | - | NPPES |
| 804538 | Other | WV | UNITED CONCORDIA ID # |
| 0134332000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3268 (West Virginia) | Primary |
Christopher J Rodebaugh, Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Maplewood Ave, Ronceverte, WV 24970 Phone: 304-645-3110 Fax: 304-645-3209 | |
H Richard Marshall Jr Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Maplewood Ave, Ronceverte, WV 24970 Phone: 304-645-3110 Fax: 301-645-3209 |