Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lebanon Petr Vaughan DDS LLC

Organization Pediatric Dentistry · NPI 1093696411

Lebanon Petr Vaughan DDS LLC is a Pediatric Dentistry in Lebanon, Ohio. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

600 Columbus Ave
Lebanon, OH 45036-1606
Phone: (937) 453-8410
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1093696411
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Petr Vaughan — Owner · (937) 245-0390
Other names Lebanon Pediatric Dentistry
NPI enumeratedSeptember 11, 2025
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025
Mailing address4881 Cooper Rd, Cincinnati, OH 45242-6902