LEBANON PETR VAUGHAN DDS LLC
NPI 1093696411
Dentist - Pediatric Dentistry in Lebanon, OH

Q: What is Lebanon Petr Vaughan Dds LLC's NPI number?

The NPI number for Lebanon Petr Vaughan Dds LLC is 1093696411. It was assigned to this organization in the NPPES registry on September 11, 2025. The provider is doing business as Lebanon Pediatric Dentistry.

Q: What is Lebanon Petr Vaughan Dds LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since September 11, 2025

600 COLUMBUS AVE, LEBANON, OH 45036(937) 453-8410 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lebanon Petr Vaughan Dds Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEBANON PETR VAUGHAN DDS LLC (NPI 1093696411), doing business as Lebanon Pediatric Dentistry, is a healthcare organization registered as a pediatric dentistry in Lebanon, Ohio and active in the NPI registry since September 2025. The organization lists Petr Vaughan, Owner, as its authorized official.

NPPES Registry Identity

NPI1093696411

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameLEBANON PETR VAUGHAN DDS LLC

Location Address600 COLUMBUS AVELebanon, OH 45036-1606

Mailing Address4881 Cooper RdCincinnati, OH 45242-6902

Phone(937) 453-8410

Organization SubpartNo

Authorized OfficialPetr VaughanOwner · (937) 245-0390

Enumeration DateSeptember 11, 2025

NPPES CertifiedSeptember 11, 2025

✔ NPI 1093696411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

600 COLUMBUS AVE, Lebanon, OH 45036

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Other Names 1

Doing Business AsLebanon Pediatric Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MORGAN FISCHESSER DDS

Dentist (Orthodontics and Dentofacial Orthopedics)

600 COLUMBUS AVE
LEBANON, OH 45036

Warren County (513) 932-7675

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lebanon Petr Vaughan Dds LLC's NPI number?

The NPI number for Lebanon Petr Vaughan Dds LLC is 1093696411. It was assigned to this organization in the NPPES registry on September 11, 2025. The provider is doing business as Lebanon Pediatric Dentistry.

Where is Lebanon Petr Vaughan Dds LLC located?

Lebanon Petr Vaughan Dds LLC is located at 600 Columbus Ave, Lebanon, OH 45036. The listed phone number is (937) 453-8410.

What is Lebanon Petr Vaughan Dds LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Lebanon Petr Vaughan Dds LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.