P Praxis·MD
● Active Type 2 · Organization

Kelly A. Vaughn

Dentist·Woodstock, GA· NPI 1770754426 · Enumerated 2008 · 18 years on NPI
Kelly A. Vaughn is 1 of 4309 dentist organizations in Georgia.
NPI age
18 years
Enumerated 2008-03-20
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Falvai
Practice Admin
Last NPPES update
2012-04-02
Source: monthly bulk 2026-05

How this organization compares

Across 4309 active dentist providers in Georgia.

NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-03Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
9020 Highway 92, Suite 120
Woodstock, GA 301893753
📞 7709284511fax 7709284310
Mailing address
9020 Highway 92, Suite 120
Woodstock, GA 301893753
📞 7709284511fax 7709284310

Authorized official

Anita L Falvai
Practice Admin
📞 7709284511

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Dentist Primary
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    GA license #DN012608 taxonomy 1223G0001X

Identifiers

TypeValueNotes
05 (GA) 211792479N

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Woodstock Dental Care PC
    Type code 3 recorded 2012-04-02

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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