DR. DENNIS DAVID DOUGHTY (NPI# 1164425161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164425161 |
| Entity Type | Individual |
| Full Name | DR. DENNIS DAVID DOUGHTY |
| Credential | DDS |
| Practice Address |
111 Main St W Girard PA 16417-1613 |
| Mailing Address |
110 Walnut St Girard PA 16417-1632 |
| Practice Telephone | 8147749601 |
| Practice Fax Number | 8147742055 |
| Mailing Telephone | 8147749318 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2007-07-08 |
| 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 |
DS019608L | PA | Dental Providers |
| Street Address |
111 MAIN ST W |
| City | GIRARD |
| State | PA |
| Zip Code | 16417-1613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952517567 | Elizabeth A. Gette | Dentist | 111 Main St W, Girard, PA 16417-1613 | 2007-05-14 |
| 1568682896 | O'leary Dental Group | Dentist | 111 Main St W, Girard, PA 16417-1613 | 2007-04-27 |
| 1316070105 | Richard O. Gette | Dentist | 111 Main St W, Girard, PA 16417-1613 | 2007-03-13 |
| 1306976576 | James Joseph Mahoney | Dentist | 111 Main St W, Girard, PA 16417-1613 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003193103 | Vadim Sychuk | Physical Therapy Assistant | 8300 W Ridge Rd, Girard, PA 16417 | 2011-11-03 |
| 1609955533 | Erie County Medical Associates | Family Medicine | 8300 West Ridge Rd, Girard, PA 16417 | 2006-11-02 |
| 1922105295 | Andrew Prischak Od | Optometrist | 229 West Main St, Girard, PA 16417 | 2006-09-20 |
| 1215031893 | Michael Anthony Lariccia | Physical Therapist | 10081 Ridge Rd, Girard, PA 16417 | 2006-09-12 |
| 1992185458 | Community Health Net | Clinic/Center | 1135 Lake St Ste 2, Girard, PA 16417-1063 | 2015-05-31 |
| 1235679184 | Makeda Bostwick | Counselor | 141 Randall Ave Ste 2, Girard, PA 16417-1147 | 2017-02-26 |
| 1861872111 | Aspire Counseling Services | Counselor | 141 Randall Ave, Suite 2, Girard, PA 16417-1147 | 2015-06-02 |
| 1093099814 | Susanne Marie Kelly | Licensed Practical Nurse | 907 Aurora Ave, Girard, PA 16417-1241 | 2011-09-29 |
| 1982237095 | Katie Walden Geer | Counselor | 649 Rice Ave, Girard, PA 16417-1449 | 2020-02-17 |
| 1861968943 | Amanda Katherine Monocello | Counselor | 649 Rice Ave Ste 2, Girard, PA 16417-1449 | 2018-10-16 |
| Find all providers in zip 16417 | ||||
| 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 |
|---|---|---|---|---|
| 1568074037 | Kingsbury Oral and Maxillofacial Surgery, PC | Dentist | 1 Presidential Blvd Ste 207, Bala Cynwyd, PA 19004-1007 | 2020-08-17 |
| 1679183990 | Always Precision Dental PC | Dentist | 1023 King Way, Breinigsville, PA 18031-1482 | 2020-08-02 |
| 1447874490 | Peace Dental Associates | Dentist | 35 S 2nd Ave, Clarion, PA 16214-1934 | 2020-06-05 |
| 1528689270 | New Hope Oral Surgery and Implant Center | Dentist | 6660 Old York Rd, New Hope, PA 18938 | 2020-05-05 |
| 1942831904 | Eagles Oral Surgery | Dentist | 525 W Main St Ste 11, Trappe, PA 19426-1923 | 2020-01-29 |
| 1104466028 | Keystone Oral and Maxillofacial Surgery, P.C. | Dentist | 560 Rugh St Ste 100, Greensburg, PA 15601-5601 | 2020-01-08 |
| 1245889740 | Oral & Facial Surgery of Pittsburgh, P.C. | Dentist | 180 Swinderman Rd Ste 260, Wexford, PA 15090-5620 | 2019-09-06 |
| 1528626124 | Christopher Yi | Dentist | 900 Walnut St Rm 300, Philadelphia, PA 19107-5191 | 2019-05-30 |
| 1275091886 | Gary M Carmassi Dmd | Dentist | 8650 Babcock Blvd Ste 3, Pittsburgh, PA 15237-5009 | 2019-03-04 |
| 1073093233 | Ban Oral and Facial Surgical Associates LLC | Dentist | 4725 Mcknight Rd Ste 209, Pittsburgh, PA 15237-3414 | 2018-08-17 |
| 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.