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Contact Information

EDWARD T DOUGHERTY JR DDS PC
12308 OCEAN GTWY
SUITE #6
OCEAN CITY, MD21842-9341
 Phone: 410-390-2220
 Fax: 410-213-2955
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for EDWARD T DOUGHERTY JR DDS PC

NPI Number 1932108446
LBN Legal business name EDWARD T DOUGHERTY JR DDS PC
Authorized official EDWARD DOUGHERTY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/18/2005
Last updated 12/11/2015 - About 10 years ago
Identifiers
DE License # G1-0001178X
MD License # G401
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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