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

Dr. Racquel Lewis Vaughn, DMD

Individual provider Dentist · NPI 1871809582

Dr. Racquel Lewis Vaughn, DMD is a Dentist in Tucker, Georgia. Works from 2 locations. Licensed in Florida and Georgia.

Licensed in
FL, GA
In the registry since
2010
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3983 Lavista Rd Ste 104
Tucker, GA 30084-5140
Phone: (770) 723-1111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2239 Highway 20 Se, Conyers, GA 30013-2091 — (770) 921-3565

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN014917 (GA)
Dentist Taxonomy 122300000X · Licence DN014917 (GA)
General Practice Dentistry Taxonomy 1223G0001X · Licence DN19195 (FL)

Record details

NPI number1871809582
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 19, 2010
Last updated in NPPESJuly 12, 2022
Certification dateJuly 12, 2022

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