Jeff M Dougherty in Saint Peters - General Practice
Jeff M Dougherty - NPI 1598828030
Jeff M Dougherty is a General Practice in Saint Peters, Missouri. Jeff M Dougherty practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jeff M Dougherty is 1598828030. The last update date is 2007-07-08.
Jeff M Dougherty's current location address is 643 Avondale Dr, Saint Peters, Missouri. You can contact this provider via phone number 6362943090. The mailing address for Jeff M Dougherty is 643 Avondale Dr, Saint Peters, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jeff M Dougherty |
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Address | 643 Avondale Dr, Saint Peters, Missouri |
Phone Number | 6362943090 |
Fax Number | |
Sole Proprietor | Y |
Credentials | D.M.D |
NPI Number Detail
NPI Number | 1598828030 |
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Provider Enumeration Date | 2006-12-18 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 643 Avondale Dr |
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City | Saint Peters |
State | Missouri (MO) |
Post Code | 633767711 |
Phone Number | 6362943090 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 2004020376 |
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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What is the unique identifier code issued to Jeff M Dougherty by the Centers for Medicare & Medicaid Services (CMS)?
The Jeff M Dougherty has been assigned the NPI (National Provider Identifier) 1598828030. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Jeff M Dougherty's facilities are situated?
The facilities of Jeff M Dougherty are physically located at the following address: 643 Avondale Dr, Saint Peters, MO, 633767711.
What is the Jeff M Dougherty's specialty and taxonomy code?
The Jeff M Dougherty's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did Jeff M Dougherty receive its 1598828030 assignment from the Centers for Medicare & Medicaid Services?
The Jeff M Dougherty was assigned its 1598828030 on 2006-12-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jeff M Dougherty's details last updated?
The information pertaining to the Jeff M Dougherty, including its address, specialty, and other details, was most recently updated on 2007-07-08.