Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider
is Licensed or Credentialed. For more information please refer to
NPI: What You Need to Know
DR. PARIS DEVON VAUGHN DDS
Gender: MALE
NPI: 1659505196
|
Last Updated: | 2011-07-11 | ||
| Certification Date: |
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1659505196 | ||||||||||||
| Enumeration Date | 2009-05-13 | ||||||||||||
| NPI Type | 1 - Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address |
4927 TALLOWWOOD DR
MONTCLAIR, VA 22025-3031 United States Phone: 734-395-3457 | Fax: View Map 
|
||||||||||||
| Primary Practice Address |
12581 MILSTEAD WAY
SUITE 204
WOODBRIDGE, VA 22192-5445 United States Phone: 571-285-2577 | Fax: View Map
|
||||||||||||
| Health Information Exchange |
|
||||||||||||
| Other Identifiers |
|
||||||||||||
| Taxonomy |
|
||||||||||||