TY Bradley Vaughan, D.D.S.

Endodontics · Gresham, OR

Individual Active NPI

NPI number 1558526368

Practice location

320 NE 5TH St
Gresham, OR 97030-7308
Phone
(503) 665-0495
Fax
(503) 674-9196

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NPI record

NPI
1558526368
Entity type
Individual (Type 1)
Enumeration date
July 21, 2008
Last updated
August 3, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Endodontics Primary 1223E0200X D9588 OR
General Practice Dentistry 1223G0001X DE 60152137 WA

About Dr. Vaughan

TY Bradley Vaughan, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Endodontics (code 1223E0200X). The practice location is 320 NE 5TH St, Gresham, OR 97030-7308. The NPI number 1558526368 was assigned on July 21, 2008 and the record was last updated on August 3, 2016.

Dr. Vaughan lists 2 licenses in the registry: #D9588 (OR) for Endodontics; #DE 60152137 (WA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of TY Bradley Vaughan, D.D.S.?

The NPI number is 1558526368.

What is the phone number of Dr. Vaughan?

The phone number listed for the practice location is (503) 665-0495.

Where is Dr. Vaughan located?

320 NE 5TH St, Gresham, OR 97030-7308.

What is the taxonomy code for Dr. Vaughan?

The primary taxonomy code is 1223E0200X – Endodontics; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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