Thomas P Dougherty Oral Maxillofacial Surgery Pa | |
5317 Limestone Rd Wilmington DE 19808-1252 | |
(302) 239-2500 | |
(302) 239-0552 |
Full Name | Thomas P Dougherty Oral Maxillofacial Surgery Pa |
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Speciality | Dentist |
Location | 5317 Limestone Rd, Wilmington, Delaware |
Authorized Official Name and Position | Thomas P Dougherty (ORAL MAXILLOFACIAL SURGEON) |
Authorized Official Contact | 3022392500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Thomas P Dougherty Oral Maxillofacial Surgery Pa 5317 Limestone Rd Wilmington DE 19808-1252 Ph: (302) 239-2500 | Thomas P Dougherty Oral Maxillofacial Surgery Pa 5317 Limestone Rd Wilmington DE 19808-1252 Ph: (302) 239-2500 |
NPI Number | 1245403286 |
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Provider Enumeration Date | 04/10/2008 |
Last Update Date | 08/04/2008 |
Medicare PECOS PAC ID | 8022188655 |
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Medicare Enrollment ID | O20080609000241 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245403286 | NPI | - | NPPES |
0000912501 | Medicaid | DE | |
54490 | Other | DE | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Provider Name | Thomas Dougherty |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1043374515 PECOS PAC ID: 8921178559 Enrollment ID: I20080609000253 |
Kirkwood Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Greenbank Rd, Wilmington, DE 19808 Phone: 302-994-2582 Fax: 302-994-5151 | |
Connie F. Cicorelli, D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Silverside Rd, Wilmington, DE 19810 Phone: 302-798-5797 Fax: 302-798-9232 | |
J.michael Fay, D.d.s.,p.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3105 Limestone Rd, Suite 304, Wilmington, DE 19808 Phone: 302-998-2244 Fax: 302-995-7134 | |
Burke Dental Associates Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3105 Limestone Rd, Suite 305, Wilmington, DE 19808 Phone: 302-995-7128 | |
Shefali Pandya, D.m.d., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 Foulk Rd, Suite 201, Wilmington, DE 19803 Phone: 302-421-9960 Fax: 302-421-9970 | |
Blue Diamond Dental Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 Pennsylvania Ave, Suite 2c, Wilmington, DE 19806 Phone: 302-655-8387 Fax: 302-654-7162 |