Kevin P. Dougherty, DMD, PA
Dentist, General Practice in Chatham, New Jersey
1104949064- Practice location
- 475 Shunpike RD, Chatham, NJ 07928-1528
- Phone
- 973-377-3000
- Fax
- 973-377-0909
- Last updated
- August 22, 2020
Kevin P. Dougherty, DMD, PA is a healthcare organization based in Chatham, NJ. Kevin P. Dougherty, DMD, PA practices in Chatham, NJ. The NPI Number for Kevin P. Dougherty, DMD, PA is 1104949064 and holds a License No. D15205 (NJ). The current practice location address for Kevin P. Dougherty, DMD, PA is 475 Shunpike RD, Chatham, NJ 07928-1528 and can be reached out via phone at 973-377-3000 and via fax at 973-377-0909.
Provider Profile Details
- NPI Number
- 1104949064
- Provider Name
- Kevin P. Dougherty, DMD, PA
- Provider Entity Type
- Organization
- Address
- 475 Shunpike RD, Chatham, NJ 07928-1528
- Phone Number
- 973-377-3000
- Fax Number
- 973-377-0909
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Kevin Paul Dougherty, DMD · President · 973-377-3000
- Provider Enumeration Date
- April 7, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 475 Shunpike RD
Chatham, NJ 07928-1528 - City
- Chatham
- State
- New Jersey
- Zip
- 07928-1528
- Phone Number
- 973-377-3000
- Fax Number
- 973-377-0909
Provider Business Mailing Address Details
- Address
- 475 Shunpike RD
Chatham, NJ 07928-1528 - City
- Chatham
- State
- NJ
- Zip
- 07928-1528
- Phone Number
- 973-377-3000
- Fax Number
- 973-377-0909
License Information
- License Number
- D15205
- License State
- NJ
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kevin P. Dougherty, DMD, PA?
The NPI number of Kevin P. Dougherty, DMD, PA is 1104949064. It was assigned on April 7, 2007 and is currently active in the NPPES registry.
What is the specialty of Kevin P. Dougherty, DMD, PA?
Kevin P. Dougherty, DMD, PA is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number D15205.
Where does Kevin P. Dougherty, DMD, PA practice?
The practice location is 475 Shunpike RD, Chatham, NJ 07928-1528. The office can be reached at 973-377-3000 (phone) or 973-377-0909 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104949064 directly on the NPPES registry website.