Theodore Michael Dougherty, D.D.S.

Dentist · Olney, MD

Individual Active NPI

NPI number 1760767958

Practice location

18121 Georgia Ave
Suite 110
Olney, MD 20832-1437
Phone
(240) 390-0276

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NPI record

NPI
1760767958
Entity type
Individual (Type 1)
Enumeration date
October 19, 2011
Last updated
October 19, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 07093 MD

Mailing address

1812 Georgia Ave.
Suite 110
Olney, MD 20832-1437
Phone
(240) 390-0276

About Dr. Dougherty

Theodore Michael Dougherty, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 18121 Georgia Ave, Suite 110, Olney, MD 20832-1437. The NPI number 1760767958 was assigned on October 19, 2011 and the record was last updated on October 19, 2011.

Dr. Dougherty lists a license in the registry: #07093 (MD) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Theodore Michael Dougherty, D.D.S.?

The NPI number is 1760767958.

What is the phone number of Dr. Dougherty?

The phone number listed for the practice location is (240) 390-0276.

Where is Dr. Dougherty located?

18121 Georgia Ave, Suite 110, Olney, MD 20832-1437.

What is the taxonomy code for Dr. Dougherty?

The primary taxonomy code is 122300000X – Dentist.

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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