Search › Illinois › 122300000X
Kristin Vaught, DMD
NPI 1669029245 · on the registry since 2019 · sole proprietor
Practice
- Address
- 595 N Broadway St
Coal City, IL 60416 - Phone
- (815) 634-8009
- Fax
- (815) 634-2008
- Organisation at this address
- Pullara Family Dental Center
Broadway Family Dental CenterInferred from a shared address, not stated in the registry.
Additional practice sites
- 2630 Flossmoor Rd Ste 103, Flossmoor, IL
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-08-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois