Provider Demographics
NPI:1528954757
Name:VAUGHN, RACHEL OAKES (DMD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:OAKES
Last Name:VAUGHN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:LYNN
Other - Last Name:OAKES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 HIGHLAND AVE UNIT 204
Mailing Address - Street 2:
Mailing Address - City:FORT THOMAS
Mailing Address - State:KY
Mailing Address - Zip Code:41075-1624
Mailing Address - Country:US
Mailing Address - Phone:601-540-8047
Mailing Address - Fax:
Practice Address - Street 1:599 FREEDOM PARK DR STE 100
Practice Address - Street 2:
Practice Address - City:CRESTVIEW HILLS
Practice Address - State:KY
Practice Address - Zip Code:41017-5130
Practice Address - Country:US
Practice Address - Phone:859-426-0304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY114041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice