Edward T Dougherty Jr DDS PC

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

G401 Issued in MD

Legal business name

EDWARD T DOUGHERTY JR DDS PC

Doing business as

Delmarva Sedation Dentistry

Practice address

12308 Ocean Gtwy
Suite #6
Ocean City, MD 21842-9341

Phone

(410) 390-2220

Fax

(410) 213-2955

NPI assigned

Jul 18, 2005

Last updated

Dec 11, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edward T Dougherty Jr., DDSNPI 1992077200

Title

President

Phone

(410) 390-2220

Specialties & licenses 2

Addresses

Other names 1

• Delmarva Sedation Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward T Dougherty Jr., D.D.S

  • General Practice Dentistry
  • Ocean City, MD
  • NPI 1992077200
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1932108446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36872 JAHNIGEN DR",
            "city": "FRANKFORD",
            "state": "DE",
            "postal_code": "199454590",
            "telephone_number": "410-390-2220",
            "fax_number": "410-212-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12308 OCEAN GTWY",
            "address_2": "SUITE #6",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218429341",
            "telephone_number": "410-390-2220",
            "fax_number": "410-213-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD T DOUGHERTY JR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-390-2220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "MD",
            "license": "G401",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0001178X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delmarva Sedation Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• DRS Morres Gianelle Goertzen & Assoc PA (Chesapeake Medical Solutions TA Your Doc's In)
• DRS. Michnick & Takacs, D.D.S., PA (Atlantic Dental Cosmetic & Family Dentristry)
• Adam Dudley, PHARMD
• Marissa Dugan, ATC
• Dynamic Therapy Services LLC (Pivot Physical Therapy of Mid Atlantic LLC)
• Melissa Emmerich, RN
• Engle Audiology, LLC
• Katherine Bozman Engle, AUD
• John Belmore Eschenburg, DDS
• Fenwick Dental Associates

• Public Health Dentistry in Ocean City, MD
• Providers in Ocean City, MD by specialty
• Public Health Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.