Organization
EDWARD T DOUGHERTY JR DDS PC
Active
Other names
Delmarva Sedation Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD T DOUGHERTY JR. DDS (PRESIDENT)
(410) 390-2220
Entity
Organization
Contact information
Practice address
12308 OCEAN GTWY, SUITE #6, OCEAN CITY, MD 21842-9341
(410) 390-2220
(410) 213-2955
Mailing address
36872 JAHNIGEN DR, FRANKFORD, DE 19945-4590
(410) 390-2220
(410) 212-2955
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
G401
MD
1223G0001X
General Practice Dentistry
G1-0001178X
DE
Other
Enumeration date
07/18/2005
Last updated
12/11/2015
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