Individual
DR. DENNIS DAVID DOUGHTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
111 MAIN ST W, GIRARD, PA 16417-1613
(814) 774-9601
(814) 774-2055
Mailing address
110 WALNUT ST, GIRARD, PA 16417-1632
(814) 774-9318
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS019608L
PA
Other
Enumeration date
05/23/2005
Last updated
07/08/2007
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