Jeff M. Dougherty, D.M.D

General Practice Dentistry · O Fallon, MO

Individual Active NPI

NPI number 1598828030

Practice location

2726 Highway K
O Fallon, MO 63368-7884
Phone
(636) 272-5015

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NPI record

NPI
1598828030
Entity type
Individual (Type 1)
Enumeration date
December 18, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2004020376 MO

Mailing address

643 Avondale Dr
Saint Peters, MO 63376-7711
Phone
(636) 294-3090

About Dr. Dougherty

Jeff M. Dougherty, D.M.D is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2726 Highway K, O Fallon, MO 63368-7884. The NPI number 1598828030 was assigned on December 18, 2006 and the record was last updated on July 8, 2007.

Dr. Dougherty lists a license in the registry: #2004020376 (MO) 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 Jeff M. Dougherty, D.M.D?

The NPI number is 1598828030.

What is the phone number of Dr. Dougherty?

The phone number listed for the practice location is (636) 272-5015.

Where is Dr. Dougherty located?

2726 Highway K, O Fallon, MO 63368-7884.

What is the taxonomy code for Dr. Dougherty?

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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