Daugherty, Dwight Richard

Daugherty, Dwight Richard is an individual health care provider with primary practice located at 3016 N Kentwood , Springfield MO 65803. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Daugherty, Dwight Richard can be contacted via phone (417) 833-1474.

Contact Information

Primary practice address
3016 N Kentwood Springfield MO 65803
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 014206 Missouri

Profile Details

NPI number 1598891012
LBN Legal business name Daugherty, Dwight Richard
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Jul 8th, 2007 - about 17 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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