National Provider Identifier Database

LARRY D DAUGHERTY, DMD – NPI #1053493486
General Practice

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.


Contact Information

LARRY D DAUGHERTY, DMD
124 ISLAND PROFESSIONAL PARK
SAINT SIMONS ISLAND, GA31522
Phone: 912-434-4121
Fax: 912-268-2847
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for LARRY D DAUGHERTY

NPI Number 1053493486
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 10/19/2006
Last updated 02/24/2017 - About 9 years ago
Sole proprietor1 Yes
Identifiers
  • GA License #: 10020
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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