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Jeff Dougherty, D.M.D
NPI 1598828030 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2726 Highway K
O Fallon, MO 63368 - Phone
- (636) 272-5015
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri