Provider Demographics
NPI:1235430067
Name:DENTAL HEALTH FIRST LLC
Entity Type:Organization
Organization Name:DENTAL HEALTH FIRST LLC
Other - Org Name:EDWARD J. ROMAN DDS AND DAVID N VAUGHAN DMD, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:NATHAN
Authorized Official - Last Name:VAUGHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:724-228-4600
Mailing Address - Street 1:950 MANIFOLD RD
Mailing Address - Street 2:STE 100
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301
Mailing Address - Country:US
Mailing Address - Phone:724-228-4600
Mailing Address - Fax:724-228-4619
Practice Address - Street 1:950 MANIFOLD RD
Practice Address - Street 2:STE 100
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301
Practice Address - Country:US
Practice Address - Phone:724-228-4600
Practice Address - Fax:724-228-4619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-10
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS019941L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty