Active NPIIndividual provider

Dr. Kevin P Dougherty, DMD

Dentist, General Practice in Chatham, New Jersey

NPI Number1598988842
Practice location
475 Shunpike RD, Chatham, NJ 07928-1528
Fax
973-377-0909
Last updated
July 8, 2007

Kevin Paul Dougherty is a Dentist, General Practice based in Chatham, NJ. Kevin Paul Dougherty practices in Chatham, NJ and has the professional credentials of DMD. The NPI Number for Kevin Paul Dougherty is 1598988842 and holds a License No. D15205 (NJ). The current practice location address for Kevin Paul Dougherty 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
1598988842
Provider Name
Kevin Paul Dougherty
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
475 Shunpike RD, Chatham, NJ 07928-1528
Phone Number
973-377-3000
Fax Number
973-377-0909
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
April 11, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
475 Shunpike RD
Chatham, NJ 07928-1528
Zip
07928-1528
Phone Number
973-377-3000
Fax Number
973-377-0909
Chatham, NJ 07928Get directions →

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

IdentifierTypeStateIssuer
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 Dr. Kevin P Dougherty, DMD?

The NPI number of Dr. Kevin P Dougherty, DMD is 1598988842. It was assigned on April 11, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Kevin P Dougherty, DMD?

Dr. Kevin P Dougherty, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number D15205.

Where does Dr. Kevin P Dougherty, DMD 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 1598988842 directly on the NPPES registry website.

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