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Active NPI 1972523678 Individual Practitioner Male Practitioner

Dr. Joseph Gatens Vaughan , DDS, INC

Dentist - General Practice • Ronceverte, WV

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Vaughan, DDS, INC is a registered healthcare professional specializing in Dentist - General Practice in Ronceverte, WV. Practice services are available at 130 CEDAR KNOLL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

130 Cedar Knoll Dr

Ronceverte, WV 249708446

Telephone 3046453333
Fax 3046475932
Associated Practice Facility / Clinic
🏢 Lakeview Sleep Solutions Llc Facility NPI 1699588525

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Ronceverte, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Ronceverte, WV (580 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: 2024-05-16
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WV 3268

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0134332000 (WV)
Commercial Insurance / Payer ID Bc/bs Id Number
000804538 (WV)
Commercial Insurance / Payer ID United Concordia Id Numbe
804538 (WV)

Career & Practice History Timeline

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

9 Historical Events
👤
Provider Name / Credentials Updated May 16, 2024

Recorded as JOSEPH VAUGHAN, DDS, INC

📍
Updated Practice Location April 23, 2024

Registered at 130 CEDAR KNOLL DR, RONCEVERTE, WV 249708446 (Tel: 3046453333)

📍
Updated Business Mailing Address April 23, 2024

Registered at 130 CEDAR KNOLL DR, RONCEVERTE, WV 249708446 (Tel: 3046452333)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 294 SENECA TRL, RONCEVERTE, WV 249701342 (Tel: 3046452333)

📍
Updated Business Mailing Address July 09, 2007

Registered at 294 SENECA TRL, RONCEVERTE, WV 249701342 (Tel: 3046452333)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as JOSEPH VAUGHAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #3268 in WV)

🟢
Initial NPI Registration & Enumeration July 19, 2006

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: 1972523678
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2006
Last Update: May 16, 2024
Sole Proprietor: Yes

Mailing Address

130 Cedar Knoll Dr

Ronceverte, WV 249708446

Phone: 3046452333

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.