DANIEL THOMAS DOHERTY


Address: 621 S New Ballas Rd # 10, Saint Louis, MO 63141-8232
Phone: 3142515775

DANIEL THOMAS DOHERTY (NPI# 1598258501) 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) 1598258501
Entity Type Individual
Full Name DANIEL THOMAS DOHERTY
Practice Address 621 S New Ballas Rd # 10
Saint Louis
MO 63141-8232
Practice Telephone 3142515775
Practice Fax Number 3142515776
Mailing Telephone 3142515775
Mailing Fax Number 3142515776
Enumeration Date 2018-06-13
Last Update Date 2018-06-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
2018019124 MO Dental Providers

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1124086384 Daniel W Doherty Emergency Medicine 315 W 15th Street, Liberal, KS 67905-1340 2006-05-03
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1588100184 Daniel Leo Doherty Jr. Physician Assistant 589 Nw 11th St, Hermiston, OR 97838-6600 2017-01-06
1730586611 Daniel Keith Doherty Pharmacist 424 Savannah Rd, Lewes, DE 19958-1462 2014-11-20
1932338555 Daniel Edward Doherty Occupational Therapist 96 Forest St, Peabody, MA 01960-3907 2009-07-02
1962592857 Daniel Doherty Pediatrics 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2006-10-13
1215045851 Daniel James Doherty Physical Therapist 45 Mallett Dr, Coastal Orthopedics and Sports Medicine, Freeport, ME 04032-1312 2006-08-25

Office Location

Street Address 621 S NEW BALLAS RD # 10
City SAINT LOUIS
State MO
Zip Code 63141-8232

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679102842 Noor Ramadan Pharmacist 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 2020-04-08
1497381206 Washington University Durable Medical Equipment & Medical Supplies 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 2020-03-13
1154956498 Ashleigh Clendenny Physician Assistant Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 2020-03-06
1801429410 Emili Lou Haley Registered Nurse 650 Maryville Drive, St Louis, MO 63141 2020-02-21
1629553110 Rebecca Kathleen Pike Social Worker West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 2018-10-01
1649756099 River City Sedation Associates, LLC Nurse Anesthetist, Certified Registered 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 2018-07-18
1205333952 Ear Care and Hearing of St. Louis Hearing Aid Equipment 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 2018-04-10
1659897486 Erin Goodman Physical Therapist 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 2017-08-14
1093230450 Center for Urologic Surgery LLC Clinic/Center 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 2017-08-07
1871016105 Jacob Farley Tanner Specialist/Technologist 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 2017-07-19
Find all providers in zip 63141

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801493762 Alexander Ahmadi Dentist 4171 Crescent Dr Ste 102, Saint Louis, MO 63129-3645 2020-10-05
1396353876 Michael Rehme Jr. Dentist 2821 N Ballas Rd Ste 245, Saint Louis, MO 63131-2378 2020-07-21
1235771155 James T Fetsch Dmd LLC Dentist 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 2019-10-11
1013579010 Jasmine Esmailzadegan Dentist 200 S Kirkwood Rd Ste 90, Saint Louis, MO 63122-4351 2019-07-01
1194295964 Rivka Goldenhersh, D.m.d., LLC Dentist 620a N Mcknight Rd Ste 2a, Saint Louis, MO 63132 2018-12-04
1952895252 Feras Al Khatib Dentist 7809 Watson Rd, Saint Louis, MO 63119-5408 2018-06-20
1255825675 Brenton Patrick Ruopp Dentist 16 Hampton Village Plz Ste 229, Saint Louis, MO 63109-2111 2018-06-19
1649700964 Adam J Bree Dentist 605 Old Ballas Rd Ste 118, Saint Louis, MO 63141-7070 2017-06-19
1811448863 We Care Mobile Dental LLC Dentist 6903 Waterman Ave, Saint Louis, MO 63130-4333 2016-10-14
1215362124 Alex Sharifian Dds Francis Park Dentistry PC Dentist 6650 Chippewa Street, Saint Louis, MO 63109 2013-09-10
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63141

Improve Information

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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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