JOHN DENNIS DOUGHERTY


Address: 27 N Mountain Blvd, Mountaintop, PA 18707-1116
Phone: 5704745923

JOHN DENNIS DOUGHERTY (NPI# 1174532907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174532907
Entity Type Individual
Full Name JOHN DENNIS DOUGHERTY
Other Name JOHN D DOUGHERTY
Credential DMD
Practice Address 27 N Mountain Blvd
Mountaintop
PA 18707-1116
Practice Telephone 5704745923
Practice Fax Number 5704035484
Mailing Telephone 5704745923
Mailing Fax Number 5704035484
Enumeration Date 2006-08-08
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 18129 PA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
UNITED CONCORDIA 510561 01

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Office Location

Street Address 27 N MOUNTAIN BLVD
City MOUNTAINTOP
State PA
Zip Code 18707-1116

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770953994 Geisinger Wyoming Valley Medical Center General Acute Care Hospital 35 South Mountain Blvd, Mountain Top, PA 18707 2015-09-30
1003152190 Patrick J Connors Chiropractor 124 N Mountain Blvd, Mountain Top, PA 18707 2012-12-18
1053674234 Alexanne Kennedy Conklin Speech-Language Pathologist 185 South Mountain Blvd, Mountain Top, PA 18707 2012-06-21
1639440605 Anne L Cox Social Worker 359 S.mountaintop Boulevard, Suite C-2, Mountaintop, PA 18707 2012-01-23
1538445218 Geisinger Clinic Pediatrics 35 S. Mountain Blvd, Mountain Top, PA 18707 2011-10-26
1073665790 Carmen Ardo Psychologist Confidential Counseling, 359 South Mountain Blvd. Suite C-2, Mountaintop, PA 18707 2007-01-16
1396892592 Maureen Ann Jesikiewicz Pharmacist Triangle Pharmay 89 S Main St Mountaintop Pa 18707, Mountaintop, PA 18707 2007-01-03
1467517474 James Joseph Johns Dds Jr. Dentist 151 South Mountain Blvd, Mountain Top, PA 18707 2006-12-27
1467547208 Penn Neurology and Psychiatry Associates, PC Psychiatry & Neurology 10 1/2 South Mountain Boulevard, Mountain Top, PA 18707 2006-10-04
1154438752 William Dietweiler Ziegler IIi Dentist 313 S Mountain Blvd, Mountaintop, PA 18707 2006-08-23
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

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Competitor

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City MOUNTAINTOP
Zip Code 18707

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Dataset Information

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.

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