| Kevin P. Dougherty, Dmd, Pa | |
|
475 Shunpike Rd Chatham NJ 07928-1528 | |
| (973) 377-3000 | |
| (973) 377-0909 |
| Full Name | Kevin P. Dougherty, Dmd, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 475 Shunpike Rd, Chatham, New Jersey |
| Authorized Official Name and Position | Kevin Paul Dougherty (PRESIDENT) |
| Authorized Official Contact | 9733773000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin P. Dougherty, Dmd, Pa 475 Shunpike Rd Chatham NJ 07928-1528 Ph: (973) 377-3000 | Kevin P. Dougherty, Dmd, Pa 475 Shunpike Rd Chatham NJ 07928-1528 Ph: (973) 377-3000 |
| NPI Number | 1104949064 |
|---|---|
| Provider Enumeration Date | 04/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104949064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D15205 (New Jersey) | Primary |
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