MICHAEL DENNIS DOHERTY D.D.S. NPI 1114097482

NPI Information

NPI: 1114097482
Provider Name: MICHAEL DENNIS DOHERTY, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
580 MAIN ST
SUITE 200
CARBONDALE, CO
ZIP 81623
Phone: (970) 963-4882
Get Directions

Michael Dennis Doherty, D.D.S. is a general practice dentist in Carbondale, CO. 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. Michael Dennis Doherty, D.D.S. NPI is 1114097482. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

580 MAIN ST
SUITE 200
CARBONDALE, CO
ZIP 81623-072
Phone: (970) 963-4882
Fax: (970) 963-1023

The enumeration date for this NPI number is 11/8/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	6715	COLORADO	Yes

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

NPI Synchronization or Removal

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