DR. STEFANIE BROOKE DOUGHERTY


Address: 2901 Dougherty Ferry Rd, Suite 301, Saint Louis, MO 63122-3368
Phone: 6368251000

DR. STEFANIE BROOKE DOUGHERTY (NPI# 1184601965) 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) 1184601965
Entity Type Individual
Full Name DR. STEFANIE BROOKE DOUGHERTY
Credential D.M.D., M.S.D.
Practice Address 2901 Dougherty Ferry Rd
Suite 301
Saint Louis
MO 63122-3368
Practice Telephone 6368251000
Practice Fax Number 6368251040
Mailing Telephone 6368251000
Mailing Fax Number 6368251040
Enumeration Date 2005-12-22
Last Update Date 2013-10-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 2004016350 MO Dental Providers

Office Location

Street Address 2901 DOUGHERTY FERRY RD
SUITE 301
City SAINT LOUIS
State MO
Zip Code 63122-3368

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144773821 Morgan A Emery Dentist 2901 Dougherty Ferry Rd, Suite 400, Saint Louis, MO 63122-3309 2016-07-28
1649526278 Morgan Ashley Emery Dentist 2901 Dougherty Ferry Rd, Ste 400, Saint Louis, MO 63122-3368 2012-08-01
1548544968 Hays Foot and Ankle Center PC Durable Medical Equipment & Medical Supplies 2901 Dougherty Ferry Rd, Suite 201, Saint Louis, MO 63122-3368 2011-10-04
1194887190 Robert Eric Emery Dentist 2901 Dougherty Ferry Rd, Suite 400, Saint Louis, MO 63122-3368 2006-12-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659933174 Keela Rushing Physical Therapist 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 2019-07-04
1730643461 Kirkwood Family Dental Dentist 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 2019-01-28
1477061166 Total Access Urgent Care, PC Clinic/Center 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 2018-01-16
1760933469 Missouri Cvs Pharmacy, L.l.c Durable Medical Equipment & Medical Supplies 10820 Manchester Rd, Kirkwood, MO 63122 2016-10-18
1518321041 M. Kathleen Blanchard Counselor 11042 Manchester Rd., Kirkwood, MO 63122 2016-04-11
1265801914 Kim Grega Counselor 700 S Kirkwood Rd, Kirkwood, MO 63122 2015-09-23
1245617943 Mark Edward Taylor Dentist 610 North Geyer, Kirkwood, MO 63122 2015-05-01
1467843094 Mary Elizabeth Boomgarden Physical Therapist 9645 Big Bend Boulevard, Saint Louis, MO 63122 2015-02-18
1760725717 Michael Diller Counseling Counselor 144 W Madison Avenue, Kirkwood, MO 63122 2013-03-28
1427309954 Anne Marie Delaplain Dentist 725 Laclede Station Road, Webster Groves, MO 63122 2012-09-24
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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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093326670 Amani Abdulateef Dentist 4016 Lemay Ferry Rd, Saint Louis, MO 63129-1858 2020-08-16
1043828627 Tara Elizabeth Habibi Dentist 3422 Utah St Fl 2, Saint Louis, MO 63118-2727 2020-07-20
1548817448 Lauren Elizabeth Kessinger Dentist 2821 N Ballas Rd Ste 160, Saint Louis, MO 63131-2376 2019-08-25
1275193229 Ryan Michael Mulligan Dentist 621 S New Ballas Rd Ste 10a, Saint Louis, MO 63141-8239 2019-06-20
1962993246 Todd J Wind Enterprises LLC Dentist 12818 Tesson Ferry Rd Ste 2o2, Saint Louis, MO 63128-2945 2018-05-23
1396274098 Darren Cartwright, Dds, P.C. Dentist 9960 Kennerly Rd Ste B, Saint Louis, MO 63128-3075 2017-06-06
1962936765 Alex Sharifian Dds Rock Hill Dentistry PC Dentist 9601 Manchester Rd, Saint Louis, MO 63119-1333 2017-04-18
1467983973 Westport Dental LLC Dentist 77 W Port Plz, Suite No. 251, Saint Louis, MO 63146-3107 2017-03-26
1427506781 Karim Allahdina Dentist 3331 Locust St, 301, Saint Louis, MO 63103-1154 2016-09-15
1508217480 Kevin Charles Kaiser Dentist 3890 S Lindbergh Blvd Ste 115, Saint Louis, MO 63127-1391 2016-06-22
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Competitor

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City SAINT LOUIS
Zip Code 63122

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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