DR. DENTY PAUL VAUGHN JR. (NPI# 1699177477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699177477 |
| Entity Type | Individual |
| Full Name | DR. DENTY PAUL VAUGHN JR. |
| Credential | DVM |
| Practice Address |
240 Wise Center Dr Mississippi State MS 39762 |
| Mailing Address |
Po Box 6100 240 Wise Center Dr Mississippi State MS 39762 |
| Practice Telephone | 6623253432 |
| Mailing Telephone | 6623253432 |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174M00000X | Veterinarian | 12111 | FL | Other Service Providers |
| N | 174M00000X | Veterinarian | 6328 | AL | Other Service Providers |
| Y | 174M00000X | Veterinarian | 2052 | MS | Other Service Providers |
| Street Address |
240 WISE CENTER DR |
| City | MISSISSIPPI STATE |
| State | MS |
| Zip Code | 39762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467956508 | Jimmy Eric Knox | Occupational Therapist | 326 Hordy Rd, Mississippi State, MI 39762 | 2018-03-22 |
| 1912440082 | Brittany Winter | Specialist/Technologist | 235 Lakeview Dr, Mississippi State, MS 39762 | 2016-11-22 |
| 1497163422 | Olivia Vita-farnsworth | Specialist/Technologist | 288 Lakeview Drive, Mississippi State, MS 39762 | 2014-07-22 |
| 1497939052 | T. K. Martin Center for Technology & Disability | Rehabilitation Counselor | 326 Hardy Road, Mississippi State, MS 39762 | 2007-12-19 |
| 1134339898 | Christopher Scott Johnson | Specialist/Technologist | Humphrey Coliseum-coliseum Drive, Mississippi State University, Mississippi State, MS 39762 | 2007-05-23 |
| 1780787622 | Stephen Paul Mock | Specialist/Technologist | 1 Shira Fieldhouse, Lakeview Drive, Mississippi State, MS 39762 | 2006-09-06 |
| 1366455685 | Mary Kathryn Mclendon | Specialist/Technologist | Lakeview Drive, Shira Field House, Mississippi State, MS 39762 | 2006-08-15 |
| 1245290386 | Katrina Poe | Family Medicine | 360 Hardy Road, Misissippi State University, MS 39762 | 2006-03-24 |
| 1225012255 | Mississippi State University | Clinic/Center | 2 Hardy Rd, Mississippi State, MS 39762 | 2005-12-02 |
| 1407830433 | Sheila W Crowley | Family Medicine | 2 Hardy Road, Mississippi State, MS 39762 | 2005-12-02 |
| Find all providers in zip 39762 | ||||
| Taxonomy Code | 174M00000X |
| Grouping | Other Service Providers |
| Classification | Veterinarian |
| A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
| Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437475407 | Bonnie Melissa Cefalu | Veterinarian | 4960 Old Canton Rd., Jackson, MS 39211 | 2010-04-15 |
| 1578708749 | Andrew Wilcox Grady | Veterinarian | 2500 N State St, Jackson, MS 39216-4500 | 2008-12-02 |
| City | MISSISSIPPI STATE |
| Zip Code | 39762 |
Please comment or provide details below to improve the information on DR. DENTY PAUL VAUGHN JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.