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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1316576556

Petr Alexander Vaughan is a Student in an Organized Health Care Education/Training Program in Cincinnati, Ohio. Works from 3 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

6558 Glenway Ave
Cincinnati, OH 45211-4410
Phone: (513) 613-3232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4881 Cooper Rd, Blue Ash, OH 45242-6902 — (513) 891-0660
  • 3333 Burnet Ave, Cincinnati, OH 45229-3026 — (937) 245-0390

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 30026130 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1316576556
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 8, 2020
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024

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