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Contact Information

WALTER J VAUGHAN, DDS
13323 HOOPER RD.
BATON ROUGE, LA70818
 Phone: 225-261-8050
 Fax: 225-261-9200
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for WALTER J VAUGHAN · (Male)

NPI Number 1235295221
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/28/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 4014
  • LA Medicaid 1840149
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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