| Paul M. Doughty D.m.d. | |
|
18 Leinbach Dr Ste A Charleston SC 29407-7916 | |
| (843) 766-0610 | |
| Not Available |
| Full Name | Paul M. Doughty D.m.d. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18 Leinbach Dr Ste A, Charleston, South Carolina |
| Authorized Official Name and Position | Paul Martin Doughty (OWNER/DENTIST) |
| Authorized Official Contact | 8437660610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul M. Doughty D.m.d. 18 Leinbach Dr Ste A Charleston SC 29407-7916 Ph: (843) 766-0610 | Paul M. Doughty D.m.d. 18 Leinbach Dr Ste A Charleston SC 29407-7916 Ph: (843) 766-0610 |
| NPI Number | 1033418314 |
|---|---|
| Provider Enumeration Date | 03/25/2011 |
| Last Update Date | 03/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033418314 | NPI | - | NPPES |
| 2X4375 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4375 (South Carolina) | Primary |
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