Matthew Steven Daugherty, DDS

General Practice Dentistry · Danville, IL

Individual Active NPI

NPI number 1568773760

Practice location

1900 E Main St
Danville, IL 61832-5100
Phone
(217) 554-5857

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NPI record

NPI
1568773760
Entity type
Individual (Type 1)
Enumeration date
June 23, 2010
Last updated
March 23, 2022
Certified
June 1, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2901020200 MI

Mailing address

2506 Monica Ln
Bloomington, IL 61705-4131
Phone
(205) 343-4686

Other practice locations (1)

  • 6849 N Oracle Rd Ste 115, Tucson, AZ 85704-4242 · (520) 870-4886

About Dr. Daugherty

Matthew Steven Daugherty, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1900 E Main St, Danville, IL 61832-5100. The NPI number 1568773760 was assigned on June 23, 2010 and the record was last updated on March 23, 2022.

Dr. Daugherty lists a license in the registry: #2901020200 (MI) 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 Matthew Steven Daugherty, DDS?

The NPI number is 1568773760.

What is the phone number of Dr. Daugherty?

The phone number listed for the practice location is (217) 554-5857.

Where is Dr. Daugherty located?

1900 E Main St, Danville, IL 61832-5100.

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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