John Michael Daugherty, D.D.S.

General Practice Dentistry · Bloomington, MN

Individual Active NPI

NPI number 1386732501

Practice location

8900 Penn Ave S
Suite 202
Bloomington, MN 55431-2068
Phone
(952) 888-1861
Fax
(952) 888-1883

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NPI record

NPI
1386732501
Entity type
Individual (Type 1)
Enumeration date
October 11, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 7408 MN

About Dr. Daugherty

John Michael Daugherty, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 8900 Penn Ave S, Suite 202, Bloomington, MN 55431-2068. The NPI number 1386732501 was assigned on October 11, 2006 and the record was last updated on July 8, 2007.

Dr. Daugherty lists a license in the registry: #7408 (MN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Michael Daugherty, D.D.S.?

The NPI number is 1386732501.

What is the phone number of Dr. Daugherty?

The phone number listed for the practice location is (952) 888-1861.

Where is Dr. Daugherty located?

8900 Penn Ave S, Suite 202, Bloomington, MN 55431-2068.

What is the taxonomy code for Dr. Daugherty?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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