Harry L Dougherty in Sherman Oaks - Orthodontics And Dentofacial Orthopedics

Harry L Dougherty - NPI 1417005083

Harry L Dougherty is a Orthodontics And Dentofacial Orthopedics in Sherman Oaks, California. Harry L Dougherty practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Harry L Dougherty is 1417005083. The last update date is 2007-07-08.

Harry L Dougherty's current location address is 4955 Van Nuys Blvd, Sherman Oaks, California. You can contact this provider via phone number 8189866223 and fax number 8189866244. The mailing address for Harry L Dougherty is 4955 Van Nuys Blvd, Sherman Oaks, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Harry L Dougherty
Address 4955 Van Nuys Blvd, Sherman Oaks, California
Phone Number 8189866223
Fax Number 8189866244
Sole Proprietor Y
Credentials D.D.S., M.

NPI Number Detail

NPI Number 1417005083
Provider Enumeration Date 2007-01-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4955 Van Nuys Blvd
City Sherman Oaks
State California (CA)
Post Code 914031801
Phone Number 8189866223
Fax Number 8189866244

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 33711
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

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FAQs about Harry L Dougherty

What is the unique 10-digit identifier code issued to Harry L Dougherty by the Centers for Medicare & Medicaid Services?

The Harry L Dougherty has been assigned the NPI (National Provider Identifier) 1417005083 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 physical address where Harry L Dougherty is located?

The Harry L Dougherty is situated at the following address: 4955 Van Nuys Blvd, Sherman Oaks, CA, 914031801.

What is Harry L Dougherty's specialized field of practice, and what is the corresponding taxonomy classification code?

The Harry L Dougherty's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.

On what date did the Harry L Dougherty receive the assignment of its 1417005083 from the Centers for Medicare & Medicaid Services?

The Harry L Dougherty was issued its 1417005083 by the Centers for Medicare & Medicaid Services on 2007-01-08.

When was the information pertaining to Harry L Dougherty most recently updated or revised?

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

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