Larry Edmond Daugherty in Berea - Dentist
Larry Edmond Daugherty - NPI 1861521668
Larry Edmond Daugherty is a Dentist in Berea, Kentucky. Larry Edmond Daugherty practices all healthcare services and medical treatments related to Dentist. The NPI Number for Larry Edmond Daugherty is 1861521668. The last update date is 2007-07-08.
Larry Edmond Daugherty's current location address is 305 Estill Street, Berea, Kentucky. You can contact this provider via phone number 8599866511. The mailing address for Larry Edmond Daugherty is 305 Estill Street, Berea, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Edmond Daugherty |
|---|---|
| Address | 305 Estill Street, Berea, Kentucky |
| Phone Number | 8599866511 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1861521668 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 305 Estill Street |
|---|---|
| City | Berea |
| State | Kentucky (KY) |
| Post Code | 40403 |
| Phone Number | 8599866511 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5160 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Larry Edmond Daugherty?
The Larry Edmond Daugherty has been issued the NPI (National Provider Identifier) 1861521668 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Larry Edmond Daugherty is geographically located?
The Larry Edmond Daugherty is physically situated at the following location: 305 Estill Street, Berea, KY, 40403.
What is the area of specialization for Larry Edmond Daugherty, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Larry Edmond Daugherty is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date was the 1861521668 assigned to Larry Edmond Daugherty?
The Larry Edmond Daugherty was issued its 1861521668 on 2007-03-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Larry Edmond Daugherty, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Larry Edmond Daugherty, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.