Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790985620 Individual Practitioner Male Practitioner

Dr. Ryan Michael Vaughn , DMD

Dentist • Gainesville, GA

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Vaughn, DMD is a registered healthcare professional specializing in Dentist in Gainesville, GA. Practice services are available at 1207 SHERWOOD PARK DR NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1207 Sherwood Park Dr Ne

Gainesville, GA 305013444

Telephone 7708622396
Associated Practice Facility / Clinic
🏢 Kdnga Llc Facility NPI 1598334906

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Gainesville, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
40 Specialists

Practicing in Gainesville, GA (2164 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-21
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License GA DN013562

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License GA DN014424

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
003175666B (GA)
Medicaid State Provider ID
801406612B (GA)

Secondary Practice Locations

7316 Spout Springs Rd Ste 102

Flowery Branch, GA 305425671

Phone: 6784507011

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Emily Simon , DMD

Dentist - Pediatric Dentistry

NPI 1790049047

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 10, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2009

Registered at 1207 SHERWOOD PARK DR NE, GAINESVILLE, GA 305013444 (Tel: 7708622396)

📍
Updated Business Mailing Address June 10, 2009

Registered at 1207 SHERWOOD PARK DR NE, GAINESVILLE, GA 305013444

👤
Provider Name / Credentials Updated June 10, 2009

Recorded as RYAN VAUGHN, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2009

Dentist (License #DN013562 in GA)

🟢
Initial NPI Registration & Enumeration July 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790985620
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2007
Last Update: June 21, 2021
Sole Proprietor: No

Mailing Address

1207 Sherwood Park Dr Ne

Gainesville, GA 305013444

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.