Provider Demographics
NPI:1699971002
Name:VAUGHN, LAURA C (DDS)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:C
Last Name:VAUGHN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:C
Other - Last Name:VIVIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:6231 SW 29TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-4549
Mailing Address - Country:US
Mailing Address - Phone:785-272-6060
Mailing Address - Fax:
Practice Address - Street 1:6231 SW 29TH ST STE 100
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-4549
Practice Address - Country:US
Practice Address - Phone:785-272-6060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-22
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS610621223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry