THOMAS PATRICK DOUGHERTY (NPI# 1043374515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043374515 |
| Entity Type | Individual |
| Full Name | THOMAS PATRICK DOUGHERTY |
| Credential | D.M.D. |
| Practice Address |
5317 Limestone Rd Wilmington DE 19808-1252 |
| Mailing Address |
5317 Limestone Rd Wilmington DE 19808-1035 |
| Practice Telephone | 3022392500 |
| Practice Fax Number | 3022390550 |
| Mailing Telephone | 3022392500 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2008-08-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
G10000905 | DE | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | AETNA | 54490 | 01 |
| DE | 0000912501 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952403651 | Thomas M Dougherty | Emergency Medicine | 1019 Skinker Pkwy, 156, Saint Louis, MO 63112-2355 | 2006-09-02 |
| 1578587382 | Thomas Roy Dougherty | Dentist | 618 W Main St Ste E-101, League City, TX 77573-3773 | 2006-07-26 |
| 1699712232 | Thomas Michael Dougherty | Internal Medicine | 15627 Imperial Hwy, La Mirada, CA 90638-1627 | 2006-06-01 |
| 1356978449 | Thomas Michael Dougherty Jr. | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2020-03-26 |
| 1831514967 | Thomas Francis Dougherty Jr. | Counselor | 189 Market St, Kingston, PA 18704-5400 | 2014-02-26 |
| 1982036018 | Thomas E Dougherty IIi | Social Worker | 2000 Bremo Rd, Suite 105, Richmond, VA 23226-2440 | 2013-07-31 |
| 1174814123 | Thomas E Dougherty Jr. | Counselor | 514 S Stratford Rd, Ste 306, Winston Salem, NC 27103-1823 | 2011-04-26 |
| 1497056873 | Thomas Michael Dougherty Sr. | Psychologist | 12605 East Fwy, Houston, TX 77015-5625 | 2010-11-16 |
| 1902082621 | Thomas Dougherty | Physical Therapy Assistant | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2008-01-11 |
| 1558553248 | Thomas C Dougherty | Nurse Practitioner | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2007-08-16 |
| Street Address |
5317 LIMESTONE RD |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19808-1252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003916537 | David Benedict Nibouar | Dentist | 5317 Limestone Rd, Wilmington, DE 19808-1252 | 2006-09-24 |
| 1881012367 | Williams Dental | Dentist | 5317 Limestone Rd, Wilmington, DE 19808-1252 | 2014-04-02 |
| 1801189212 | Matthew R Baran | Dentist | 5317 Limestone Rd, Wilmington, DE 19808-1252 | 2011-05-17 |
| 1003046111 | Dibs On Massage | Mechanotherapist | 5317 Limestone Rd, Wilmington, DE 19808-1252 | 2009-07-23 |
| 1720212285 | Erika Williams | Dentist | 5317 Limestone Rd, Suite 101, Wilmington, DE 19808-1252 | 2009-05-12 |
| 1245403286 | Thomas P Dougherty Oral Maxillofacial Surgery Pa | Dentist | 5317 Limestone Rd, Wilmington, DE 19808-1252 | 2008-04-10 |
| 1164541108 | David B. Nibouar, Dmd, Pa | Dentist | 5317 Limestone Rd, Wilmington, DE 19808-1252 | 2007-03-29 |
| 1285753145 | Anne Pauline Annone | Dentist | 5317 Limestone Rd, Wilmington, DE 19808-1252 | 2007-03-29 |
| 1538285457 | David S. Williams | Dentist | 5317 Limestone Rd, Suite 101, Wilmington, DE 19808-1252 | 2007-03-22 |
| 1063563294 | Hope Diane Thomas-glavin | Dentist | 5317 Limestone Rd, Suite 2, Wilmington, DE 19808-1252 | 2007-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800562 | Chukwufumnanya Judith Ojo | Nurse Practitioner | 5233 W Woodmill Dr., Suite 46, Wilmington, DE 19808 | 2020-08-06 |
| 1609496124 | Doko Medical Inc. | Psychologist | 3422 Old Capitol Trail, # 626, Wilmington, DE 19808 | 2020-04-24 |
| 1861045544 | Terry Lea Ramsey | Social Worker | 5234 W. Woodmill Drive, Unit 46, Wilmington, DE 19808 | 2019-07-22 |
| 1699266387 | Brandywine Podiatry, Pa | Durable Medical Equipment & Medical Supplies | 5311 Limestone Rd Ste 200, Stoney Batter II, Wilmington, DE 19808 | 2018-05-29 |
| 1225551948 | Donald Lambert IIi | Massage Therapist | 1900 Newport Gap Pike, Wilmington, DE 19808 | 2017-07-25 |
| 1952830374 | Rachelle Najula Mclellan | Physical Therapist | 2215 Saint Francis St, Wilmington, DE 19808 | 2017-06-08 |
| 1477087401 | Rca Outpatient Services LLC | Clinic/Center | Recovery Centers of America At Delaware, 2383 Limestone Road, Wilmington, DE 19808 | 2017-04-17 |
| 1922557727 | Legacy Treatment Services | Community/Behavioral Health | 5602 Kirkwood Highway, Wilmington, DE 19808 | 2016-09-22 |
| 1235590993 | Jingbo Sun | Pharmacist | 1308 Centerville Rd., Wilmington, DE 19808 | 2016-03-09 |
| 1316321599 | Wayne Kevin Pansa Jr. | Social Worker | 5205 W Woodmill Dr Ste 33, Wilmington, DE 19808 | 2015-07-16 |
| Find all providers in zip 19808 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689224495 | Graham H. Wilson, Dds, Pa | Dentist | 7971 Market Street, Wilmington, NC 28411-9383 | 2019-09-13 |
| 1912200031 | John E Hickory | Dentist | 412 Ann St, Wilmington, NC 28401-4662 | 2010-12-11 |
| 1184941189 | Conrad, Arne', Lombardo, & Krupa, D.d.s, P.a. | Dentist | 7971 Market St, Wilmington, NC 28411-9383 | 2010-04-29 |
| 1689998304 | Gregg A. Lombardo, D.d.s., P.a. | Dentist | 1510 Medical Center Drive, Wilmington, NC 28401-7506 | 2010-03-24 |
| 1437321296 | Brady J. Semmel, Dmd, Md, Pa | Dentist | 1422 Commonwealth Drive, Wilmington, NC 28403-0302 | 2008-04-01 |
| 1811174352 | Douglas F. Degroote, Dds | Dentist | 2250 Shipyard Blvd Ste 15, Wilmington, NC 28403-8070 | 2008-01-28 |
| 1801001516 | David Dieu | Dentist | 1202 Foulk Road, Wilmington, DE 19803 | 2007-05-14 |
| 1043437825 | Michael Lee Hasson | Dentist | 1221 Floral Pkwy Ste 101, Wilmington, NC 28403-6235 | 2007-04-20 |
| 1306971882 | Shawn Conrad | Dentist | 1510 Medical Center Dr, Wilmington, NC 28401-7506 | 2007-02-23 |
| 1770639171 | Michael S. Booth | Dentist | 1305 Physicians Dr., Wilmington, NC 28401-7352 | 2007-01-26 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19808 |
Please comment or provide details below to improve the information on THOMAS PATRICK DOUGHERTY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.