Doherty, Nicole

Doherty, Nicole is an individual health care provider with primary practice located at 2641 S Woodland Blvd , Deland FL 32720-8601. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Doherty, Nicole can be contacted via phone (386) 738-7441.

Contact Information

Primary practice address
2641 S Woodland Blvd Deland FL 32720-8601
Phone: (386) 738-7441
Fax: (386) 738-1299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN15963 Florida

Profile Details

NPI number 1780637736
LBN Legal business name Doherty, Nicole
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Mar 23rd, 2010 - about 14 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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