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PAUL M. DOUGHTY D.M.D. NPI 1033418314


NPI Information

NPI: 1033418314
Provider Name: PAUL M. DOUGHTY D.M.D.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
18 LEINBACH DR STE A
CHARLESTON, SC
ZIP 29407
Phone: (843) 766-0610
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PAUL M. DOUGHTY D.M.D. is a general practice dentist in Charleston, SC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PAUL M. DOUGHTY D.M.D. NPI is 1033418314. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18 LEINBACH DR STE A
CHARLESTON, SC
ZIP 29407-916
Phone: (843) 766-0610

The provider's authorized official is Paul Martin Doughty .
The authorized official title is Owner/dentist and has the following contact phone number (843) 766-0610.

The enumeration date for this NPI number is 3/25/2011 and was last updated on 3/25/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice4375SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12X4375MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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