Individual
ROBERT DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6 PROFESSIONAL DR, SNOW HILL, NC 28580-1333
(252) 747-3846
Mailing address
7 PROFESSIONAL DR, SNOW HILL, NC 28580-1332
(252) 747-8162
(252) 747-8163
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6815
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89902K1
—
NC
Enumeration date
03/16/2006
Last updated
02/01/2023
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