Organization
KEVIN D. DAUGHERTY, DMD AND SAVANNAH H. DAUGHTERY. DMD, PA
Active
Other names
Laurel Park Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAVANNAH DAUGHERTY DMD (DOCTOR)
(828) 693-5190
Entity
Organization
Contact information
Practice address
1700 OLD VILLAGE RD, HENDERSONVILLE, NC 28791-3736
(828) 693-5190
Mailing address
1700 OLD VILLAGE RD, HENDERSONVILLE, NC 28791-3736
(828) 693-5190
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9396
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467854711
NPPES
NC
01
—
1932451267
NPPES
NC
Enumeration date
08/29/2017
Last updated
07/21/2022
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