MR. DAVID SHOFF DAUGHERTY (NPI# 1477677078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477677078 |
| Entity Type | Individual |
| Full Name | MR. DAVID SHOFF DAUGHERTY |
| Credential | DDS |
| Practice Address |
9660 Rt #19 Houghton NY 14744-0037 |
| Mailing Address |
9688 Route 19 Houghton NY 14744-8710 |
| Practice Telephone | 5855672241 |
| Practice Fax Number | 5855672297 |
| Mailing Telephone | 5855672241 |
| Mailing Fax Number | 5855672297 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-05-06 |
| NPI Deactivation Date | 07/17/2007 |
| NPI Reactivation Date | 2008-05-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
046738 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679575344 | David Lee Daugherty | Orthopaedic Surgery | 3905 Waring Rd, Oceanside, CA 92056-4405 | 2005-08-12 |
| 1225402647 | David Daugherty | Marriage & Family Therapist | 1903 Island Walk Way, Fernandina Beach, FL 32034-4797 | 2015-11-23 |
| 1457621021 | David Daugherty | Pharmacist | 6314 N 9th Ave, Pensacola, FL 32504-7320 | 2012-01-12 |
| 1780691584 | David D Daugherty | Dentist | 5104 S Field St, Unit A, Littleton, CO 80123-7308 | 2006-08-02 |
| 1689648214 | David Alan Daugherty | Physician Assistant | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2006-02-13 |
| 1295711604 | David R Daugherty | Psychiatry & Neurology | 200 1st St Sw, Rochester, MN 55905-0001 | 2005-12-16 |
| Street Address |
9660 RT #19 |
| City | HOUGHTON |
| State | NY |
| Zip Code | 14744-0037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982954806 | Houghton Volunteer Ambulance Service, Inc. | Ambulance | 9750 State Route 19, Houghton, NY 14744 | 2012-09-18 |
| 1265653018 | John D Nystrom | Dentist | 9660 Route 19, Houghton, NY 14744 | 2007-05-01 |
| 1215095039 | Deanna Rae Hand | Specialist/Technologist | 1 Willard Ave, Nielsen Pec, Houghton, NY 14744 | 2006-12-05 |
| 1316919152 | David Brubaker | Family Medicine | 9789 Cr 35, Houghton College Health Center, Houghton, NY 14744 | 2006-02-06 |
| 1689682841 | Houghton College Student Health Center | Family Medicine | 9789 Cr 35, Houghton, NY 14744 | 2006-08-04 |
| 1952400889 | Sharon E Thornton | Nurse Practitioner | 9864 Luckey Dr, Houghton, NY 14744-8706 | 2006-09-21 |
| 1528006939 | College Park Healthcare Center | Skilled Nursing Facility | 9876 Luckey Dr, Houghton, NY 14744-8706 | 2006-06-04 |
| 1457873473 | Martin Chocholik | Dentist | 9864 Luckey Dr, Houghton, NY 14744-8706 | 2017-07-11 |
| 1639585557 | Dion Jacobs | Dentist | 9864 Luckey Dr, Houghton, NY 14744-8706 | 2014-07-11 |
| 1942538368 | Southern Tier Community Health Center Network Inc | Family Medicine | 9864 Luckey Dr, Houghton, NY 14744-8706 | 2009-11-23 |
| Find all providers in zip 14744 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184852501 | Robert Douglas Chalgren Jr. | Dentist | 19225 Calverley St, Houghton, MI 49931-2809 | 2009-06-24 |
| 1619189099 | Lilliana Guzman Kostinski | Dentist | 616 Shelden Ave, Suite 210, Houghton, MI 49931-1841 | 2007-05-05 |
| 1922175959 | Rick Lee Kavorik | Dentist | 725 Cedar Bluff Dr, Houghton, MI 49931-1959 | 2006-11-28 |
| 1558436352 | Gary Alan Moberg | Dentist | 502 Shelden Ave, Houghton, MI 49931-2142 | 2006-11-21 |
| 1457873473 | Martin Chocholik | Dentist | 9864 Luckey Dr, Houghton, NY 14744-8706 | 2017-07-11 |
| 1093165060 | Jane Summersett | Dentist | 725 Cedar Bluff Dr, Houghton, MI 49931-1959 | 2016-06-20 |
| 1063640480 | Copper Country Family Dentistry P.C. | Dentist | 19225 Calverley St, Houghton, MI 49931-2809 | 2009-06-24 |
| 1992848097 | Judith Charlene Archibald | Dentist | 1220 Military Rd, Houghton, MI 49931-1986 | 2007-02-15 |
| 1003977430 | Rebecca B Johnson | Dentist | 903 Razorback Dr, Suite 10, Houghton, MI 49931-2825 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508458 | Sterling Smiles LLC | Dentist | 1022 E163rd St, Bronx, NY 10459 | 2020-11-02 |
| 1447859509 | Scarsdale Plaza Dental Services, Pllc | Dentist | 455 Central Park Ave Ste 309, Scarsdale, NY 10583-1034 | 2020-10-20 |
| 1326655077 | Iro Dental Pllc | Dentist | 352 7th Ave Ste 405, New York, NY 10001-5012 | 2020-09-27 |
| 1710592373 | Ci Aronson Dds PC | Dentist | 93 Route 303, Tappan, NY 10983 | 2020-09-10 |
| 1508478389 | Damion A Myers Dds Pllc | Dentist | 103 W Dominick St Ste 20, Rome, NY 13440-5809 | 2020-08-21 |
| 1578175089 | Rafael Khavis | Dentist | Dent Tower Suite 401, 3980 Sheridan Drive, Amherst, NY 14226 | 2020-08-18 |
| 1184235939 | Western Island Dental Care Pllc | Dentist | 1900 Hempstead Tpke Ste 402, East Meadow, NY 11554-1702 | 2020-08-14 |
| 1992315469 | Elvin F Ramirez | Dentist | 274 W 140th St Apt 1, New York, NY 10030-1738 | 2020-08-08 |
| 1215547864 | Taylor Truncali | Dentist | 3671 Route 9w, Highland, NY 12528-2000 | 2020-08-07 |
| 1275143299 | Francisco J Osorio | Dentist | 812 W 181st St Apt 32, New York, NY 10033-4555 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
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| 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.