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Lake Havasu Dentistry

NPI 1396198263ActiveOrganization· Dentist, General Practice· Lake Havasu City, AZ

Dentist, General Practice in Lake Havasu City, Arizona, registered in NPPES in July 2016. The authorized official on file is Laura Vaughn, Manager.

Overview

NPI1396198263
StatusActive
Entity typeOrganization
NPI issuedJul 15, 2016
Last updated in NPPESJul 15, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist, General Practice providers in Lake Havasu City

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