John Dennis Dougherty, DMD Valid NPI
Individual provider · Dentist · Mountaintop, PA
- NPI
- 1174532907
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 18129 (PA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-08-08
- Last updated
- 2007-07-08
Practice location
27 N Mountain Blvd
Mountaintop, PA 18707-1116
(570) 474-5923