Daugherty, Carla

Daugherty, Carla is an individual health care provider with primary practice located at 5471 Dr Martin Luther King Dr , St Louis MO 63112-4265. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Daugherty, Carla can be contacted via phone (314) 367-5820.

Contact Information

Primary practice address
5471 Dr Martin Luther King Dr St Louis MO 63112-4265
Phone: (314) 367-5820
Fax: (314) 367-7010
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2003002706 Missouri

Profile Details

NPI number 1003874066
LBN Legal business name Daugherty, Carla
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Feb 4th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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