Michael Shannon Daugherty in Dothan - Endodontics
Michael Shannon Daugherty - NPI 1861430746
Michael Shannon Daugherty is a Endodontics in Dothan, Alabama. Michael Shannon Daugherty practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Michael Shannon Daugherty is 1861430746. The last update date is 2011-05-18.
Michael Shannon Daugherty's current location address is 200 Grove Park Ln, Dothan, Alabama. You can contact this provider via phone number 3346993636 and fax number 3346993637. The mailing address for Michael Shannon Daugherty is 200 Grove Park Ln, Dothan, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Shannon Daugherty |
|---|---|
| Address | 200 Grove Park Ln, Dothan, Alabama |
| Phone Number | 3346993636 |
| Fax Number | 3346993637 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1861430746 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2011-05-18 |
Provider Mailing Address Detail
| Address | 200 Grove Park Ln |
|---|---|
| City | Dothan |
| State | Alabama (AL) |
| Post Code | 363055911 |
| Phone Number | 3346993636 |
| Fax Number | 3346993637 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | AL-4912 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique 10-digit identifier code issued to Michael Shannon Daugherty by the Centers for Medicare & Medicaid Services?
The Michael Shannon Daugherty has been assigned the NPI (National Provider Identifier) 1861430746 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Michael Shannon Daugherty is physically located?
The Michael Shannon Daugherty is situated at the following address: 200 Grove Park Ln, Dothan, AL 363055911.
What is Michael Shannon Daugherty's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michael Shannon Daugherty is Endodontics, and the taxonomy code that classifies this field of practice is 1223E0200X.
When did the Michael Shannon Daugherty receive its 1861430746?
The Michael Shannon Daugherty was issued its 1861430746 on 2006-06-03, which is the date when the organization was assigned this unique identifier.
When was the information regarding Michael Shannon Daugherty most recently updated?
The details pertaining to the Michael Shannon Daugherty, including its address, specialty, and other relevant information, were last refreshed on 2011-05-18.