Clemens, Vaughn

Clemens, Vaughn is an individual health care provider with primary practice located at 120 S 6Th St , Vineland NJ 08360-4605. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Clemens, Vaughn can be contacted via phone (856) 692-5533.

Contact Information

Primary practice address
120 S 6Th St Vineland NJ 08360-4605
Fax: (856) 692-4990
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X DI020601 New Jersey

Profile Details

NPI number 1538145271
LBN Legal business name Clemens, Vaughn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538145271 NPPES
New Jersey Other 223674675 TAX ID #

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