Organization Active NPI

Lawrenceburg Taylor Guth DDS and Petr Vaughan DDS LLC

  • Pediatric Dentistry
  • Greendale, IN
National Provider Identifier
1790611077
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
LAWRENCEBURG TAYLOR GUTH DDS AND PETR VAUGHAN DDS LLC
Practice address
1500 Flossie Dr
Greendale, IN 47025-8550
Phone
(812) 221-2227
NPI assigned
Jun 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Petr Alexander Vaughan, DDS
Title
Owner
Phone
(937) 245-0390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1500 Flossie Dr
Greendale, IN 47025-8550

Mailing address

4881 Cooper Rd
Blue Ash, OH 45242-6902

National Provider Directory

National Provider Directory

Locations

1500 Flossie Dr
Lawrenceburg, IN 47025
Phone (812) 537-4272

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1790611077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 COOPER RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 FLOSSIE DR",
            "city": "GREENDALE",
            "state": "IN",
            "postal_code": "470258550",
            "telephone_number": "812-221-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCEBURG TAYLOR GUTH DDS AND PETR VAUGHAN DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "PETR",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-245-0390",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greendale, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.