Individual provider · Type 1 NPI

Edward Vaughan

General Practice Dentistry · Jackson, TN

NPI number 1477541704 Active

Practice location

78 Lynoak Cv
Jackson, TN 38305-2800

Fax (731) 668-1012

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2035 (TN)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1477541704

Edward Vaughan's National Provider Identifier is 1477541704, issued on Oct 11, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Jackson, TN. The record was last updated on Jul 13, 2026.