Paul E, Dougherty in La Jolla - General Practice

Paul E, Dougherty - NPI 1700890902

Paul E, Dougherty is a General Practice in La Jolla, California. Paul E, Dougherty practices all healthcare services and medical treatments related to General Practice. The NPI Number for Paul E, Dougherty is 1700890902. The last update date is 2007-07-08.

Paul E, Dougherty's current location address is 850 Prospect St Ste 6, La Jolla, California. You can contact this provider via phone number 8584542656 and fax number 8584541069. The mailing address for Paul E, Dougherty is 850 Prospect St Ste 6, La Jolla, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul E, Dougherty
Address 850 Prospect St Ste 6, La Jolla, California
Phone Number 8584542656
Fax Number 8584541069
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1700890902
Provider Enumeration Date 2006-07-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 850 Prospect St Ste 6
City La Jolla
State California (CA)
Post Code 920374208
Phone Number 8584542656
Fax Number 8584541069

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 35249
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Paul E, Dougherty

What is the unique identifier code issued to Paul E, Dougherty by the Centers for Medicare & Medicaid Services (CMS)?

The Paul E, Dougherty has been assigned the NPI (National Provider Identifier) 1700890902. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Paul E, Dougherty's physical address?

The Paul E, Dougherty is physically located at 850 Prospect St Ste 6, in the city of La Jolla, CA, with the postal code 920374208.

What is Paul E, Dougherty's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Paul E, Dougherty is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

When was the Paul E, Dougherty's 1700890902 issued?

The Paul E, Dougherty's 1700890902 was issued on 2006-07-27.

When was the information pertaining to Paul E, Dougherty most recently updated or revised?

The details related to Paul E, Dougherty, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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