Dougherty, Thomas Patrick

Dougherty, Thomas Patrick is an sole proprietor health care provider with primary practice located at 5317 Limestone Rd , Wilmington DE 19808-1252. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Dougherty, Thomas Patrick can be contacted via phone (302) 239-2500.

Contact Information

Primary practice address
5317 Limestone Rd Wilmington DE 19808-1252
Phone: (302) 239-2500
Fax: (302) 239-0550
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X G10000905 Delaware

Profile Details

NPI number 1043374515
LBN Legal business name Dougherty, Thomas Patrick
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2006
Last updated Aug 13th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043374515 NPPES
Delaware MEDICAID 0000912501
Delaware Other 54490

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