# KEVIN D. DAUGHERTY, DMD AND SAVANNAH H. DAUGHERTY, DMD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134695067
- **Authorized official:** SAVANNAH DAUGHERTY DMD (CO OWNER)
- **Authorized official phone:** (828) 693-5190

## Contact information

- **Practice address:** 1700 OLD VILLAGE RD, HENDERSONVILLE, NC 28791-3736
- **Practice address phone:** (828) 693-5190
- **Practice address fax:** (828) 595-9104
- **Mailing address:** 1700 OLD VILLAGE RD, HENDERSONVILLE, NC 28791-3736
- **Mailing address phone:** (828) 693-5190
- **Mailing address fax:** (828) 595-9104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/18/2018
- **Last updated:** 07/21/2022