EDWARD T DOUGHERTY JR DDS PC NPI 1932108446

NPI Information

  • NPI: 1932108446
  • Provider Name: EDWARD T DOUGHERTY JR DDS PC
  • Classification: Dentist - 1223D0001X
  • Specialization: Dental Public Health
  • Entity Type: Organization
  • Doing Business As: DELMARVA SEDATION DENTISTRY
  • Address: 12308 OCEAN GTWY
    SUITE #6
    OCEAN CITY, MD
    ZIP 21842
  • Phone: (410) 390-2220

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NPI Details

EDWARD T DOUGHERTY JR DDS PC is a dental public health dentist in Ocean City, MD. The provider is the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. EDWARD T DOUGHERTY JR DDS PC NPI is 1932108446. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Delmarva Sedation Dentistry.

The provider's business location address is:

12308 OCEAN GTWY
SUITE #6
OCEAN CITY, MD
ZIP 21842-341
Phone: (410) 390-2220
Fax: (410) 213-2955

The provider's authorized official is Edward T Dougherty .
The authorized official title is President and has the following contact phone number (410) 390-2220.

The enumeration date for this NPI number is 7/18/2005 and was last updated on 12/11/2015.

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
11223G0001XDentistGeneral PracticeG1-0001178XDELAWARENo
21223D0001XDentistDental Public HealthG401MARYLANDYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17368050001MEDICARE NSCMARYLAND

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: 11/21/2025

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