Organization · Type 2 NPI
Lebanon Petr Vaughan DDS LLC
Pediatric Dentistry · Lebanon, OH
NPI number
1093696411
Active
Practice location
600 Columbus Ave
Lebanon, OH 45036-1606
Mailing address
4881 Cooper Rd
Cincinnati, OH 45242-6902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
About NPI 1093696411
Lebanon Petr Vaughan DDS LLC's National Provider Identifier is 1093696411, issued on Sep 11, 2025. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Lebanon, OH. The record was last updated on Sep 11, 2025.