John Dennis Dougherty in Mountaintop - Dentist
John Dennis Dougherty - NPI 1174532907
John Dennis Dougherty is a Dentist in Mountaintop, Pennsylvania. John Dennis Dougherty practices all healthcare services and medical treatments related to Dentist. The NPI Number for John Dennis Dougherty is 1174532907. The last update date is 2007-07-08.
John Dennis Dougherty's current location address is 27 N Mountain Blvd, Mountaintop, Pennsylvania. You can contact this provider via phone number 5704745923 and fax number 5704035484. The mailing address for John Dennis Dougherty is 27 N Mountain Blvd, Mountaintop, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Dennis Dougherty |
|---|---|
| Address | 27 N Mountain Blvd, Mountaintop, Pennsylvania |
| Phone Number | 5704745923 |
| Fax Number | 5704035484 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1174532907 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 27 N Mountain Blvd |
|---|---|
| City | Mountaintop |
| State | Pennsylvania (PA) |
| Post Code | 187071116 |
| Phone Number | 5704745923 |
| Fax Number | 5704035484 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 18129 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 510561 | UNITED CONCORDIA |
Post Comment/ Review Below
What is the John Dennis Dougherty's unique identification number?
The John Dennis Dougherty has been assigned the NPI (National Provider Identifier) Number 1174532907 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the John Dennis Dougherty's physical address?
The John Dennis Dougherty is physically located at 27 N Mountain Blvd, in the city of Mountaintop, PA, with the postal code 187071116.
What is the John Dennis Dougherty's specialty and taxonomy code?
The John Dennis Dougherty's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1174532907 to John Dennis Dougherty?
The John Dennis Dougherty received its 1174532907 assignment from the Centers for Medicare & Medicaid Services on 2006-08-08.
When was the John Dennis Dougherty's information last updated?
The John Dennis Dougherty's information was last updated on 2007-07-08.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX