P Praxis·MD
● Active Type 1 · Individual

DR. Racquel Lewis Vaughn, DMD

Dentist·Tucker, GA· NPI 1871809582 · Enumerated 2010 · 15 years on NPI
Vaughn is 1 of 36 dentist providers in Tucker and 1 of 4309 in Georgia.
NPI age
15 years
Enumerated 2010-08-19
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
GA, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-07-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4309 active dentist providers in Georgia.

NPI age
15 years
↓ 3 yr below median (18 yr)
State licenses
2 states
Top 93% — 6% of peers are multi-state
Subspecialties
1
In the 13% of peers with subspecialties

NPI lifetime · 2010 → 2026

2010-08Enumerated in NPPES
2010 2026

Where they practice

Practice location
3983 Lavista Rd Ste 104
Tucker, GA 300845140
📞 7707231111
Mailing address
3983 Lavista Rd Ste 104
Tucker, GA 300845140
📞 7707231111fax 7707239444

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2239 Highway 20 Se
Conyers, GA 300132091
📞 7709213565fax 7709213534

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 #DN014917FL license #DN19195 taxonomy 1223G0001X
  • Dentist
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    GA license #DN014917 taxonomy 122300000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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