DR. WARREN FREDERICK DAUGHERTY JR. (NPI# 1245332394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245332394 |
| Entity Type | Individual |
| Full Name | DR. WARREN FREDERICK DAUGHERTY JR. |
| Credential | DDS |
| Practice Address |
207 Hathaway Park Lebanon PA 17042-6163 |
| Practice Telephone | 7172730411 |
| Practice Fax Number | 7172727099 |
| Mailing Telephone | 7172730411 |
| Mailing Fax Number | 7172727099 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D5015609L | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MET LIFE | 1156932 | 01 | |
| UNITED CONCORDIA | 59606 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831600113 | Warren Patrick Daugherty | Dentist | 710 S 12th St, Lebanon, PA 17042-6901 | 2017-10-13 |
| Street Address |
207 HATHAWAY PARK |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-6163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417252206 | Lebanon Family Dental | Dentist | 207 Hathaway Park, Lebanon, PA 17042-6163 | 2011-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952893034 | Aditi Gupta | Dentist | 367 Route 120 Unit C, Lebanon, NH 03766-1430 | 2018-06-04 |
| 1982126876 | Drew Garrett Hubbard | Dentist | 816 S 2nd St, Lebanon, OR 97355-3226 | 2017-07-12 |
| 1770984585 | Kaila Alexis Clift | Dentist | 1230 S 5th Ave, Lebanon, PA 17042-7814 | 2014-09-11 |
| 1538569496 | Serenity Dental | Dentist | 1030 W Main St, Lebanon, TN 37087-3345 | 2014-08-28 |
| 1235493487 | Kurush Savabi | Dentist | 1375 S Lebanon St, Suite 200, Lebanon, IN 46052-3010 | 2012-07-02 |
| 1083976799 | Timothy Alan Pfountz | Dentist | 335 S. Hartmann Drive, Lebanon, TN 37087-3724 | 2012-06-10 |
| 1477872489 | Lauren Currall Simms | Dentist | 77 Haytown Rd, Lebanon, NJ 08833-4010 | 2010-06-01 |
| 1659533479 | Bracy C Haynie | Dentist | 102 Hartman Dr, Suite H, Lebanon, TN 37087-2569 | 2008-07-02 |
| 1144491234 | William Duley IIi | Dentist | 219 West Main St, Lebanon, KY 40033 | 2008-03-17 |
| 1578757209 | John Francis Mielo Jr. | Dentist | 3 Werner Way, Suite 202, Lebanon, NJ 08833-2223 | 2007-09-06 |
| Find all providers in LEBANON | ||||
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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.