Thomas Patrick Dougherty in Wilmington - Oral And Maxillofacial Surgery

Thomas Patrick Dougherty - NPI 1043374515

Thomas Patrick Dougherty is a Oral And Maxillofacial Surgery in Wilmington, Delaware. Thomas Patrick Dougherty practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Thomas Patrick Dougherty is 1043374515. The last update date is 2008-08-13.

Thomas Patrick Dougherty's current location address is 5317 Limestone Rd, Wilmington, Delaware. You can contact this provider via phone number 3022392500. The mailing address for Thomas Patrick Dougherty is 5317 Limestone Rd, Wilmington, Delaware. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Patrick Dougherty
Address 5317 Limestone Rd, Wilmington, Delaware
Phone Number 3022392500
Fax Number
Sole Proprietor Y
Credentials D.M.D.

NPI Number Detail

NPI Number 1043374515
Provider Enumeration Date 2006-12-20
Last Updated Date 2008-08-13

Provider Mailing Address Detail

Address 5317 Limestone Rd
City Wilmington
State Delaware (DE)
Post Code 198081035
Phone Number 3022392500
Fax Number

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No G10000905
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
912501 DE --
54490 CT AETNA

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FAQs about Thomas Patrick Dougherty

What is the unique 10-digit identification code assigned to Thomas Patrick Dougherty by the Centers for Medicare & Medicaid Services?

The Thomas Patrick Dougherty has been issued the NPI (National Provider Identifier) 1043374515, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Thomas Patrick Dougherty is located?

The Thomas Patrick Dougherty is situated at the following address: 5317 Limestone Rd, Wilmington, DE, 198081035.

What is the area of specialization for Thomas Patrick Dougherty, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Thomas Patrick Dougherty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 1223S0112X.

On what date did the Thomas Patrick Dougherty receive its 1043374515 assignment from the Centers for Medicare & Medicaid Services?

The Thomas Patrick Dougherty was assigned its 1043374515 by the Centers for Medicare & Medicaid Services on 2006-12-20.

As of what date was the information regarding Thomas Patrick Dougherty, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Thomas Patrick Dougherty, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-08-13.

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