John Dennis Dougherty, DMD is a
Dentist based in Mountaintop, Pennsylvania. John Dennis Dougherty is licensed to practice in Pennsylvania (license number 18129) and his current practice location is
27 N Mountain Blvd, Mountaintop, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(570) 474-5923.
NPI number for John Dennis Dougherty is 1174532907 and his current mailing address is 27 N Mountain Blvd, Mountaintop, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174532907.
Healthcare Provider's Profile
Full Name | John Dennis Dougherty |
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Gender | Male |
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Speciality | Dentist |
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Location | 27 N Mountain Blvd, Mountaintop, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174532907
- Provider Enumeration Date: 08/08/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for John Dennis Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174532907 | NPI | - | NPPES |
510561 | Other | | UNITED CONCORDIA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 18129 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Dennis Dougherty is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
John Dennis Dougherty, DMD 27 N Mountain Blvd, Mountaintop, PA 18707-1116 Ph: (570) 474-5923 | John Dennis Dougherty, DMD 27 N Mountain Blvd, Mountaintop, PA 18707-1116 Ph: (570) 474-5923 |
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