DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LARRY D. DAUGHERTY, DMD

Active Sole Proprietor

General Dentistry · ST SIMONS ISLAND, GA

Registration Details

NPI Number
1053493486
Provider Type
Individual
Gender
Male
NPI Issued
Oct 19, 2006 (19.547833326042 yrs)
Last Updated
Feb 24, 2017
License
10020 (GA)
Sole Proprietor
Yes

Practice Information

Address
124 ISLAND PROFESSIONAL PARK
ST SIMONS ISLAND, GA, 31522
Browse GA providers · Browse ZIP 31522
Phone
9124344121
Fax
9122682847
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in ST SIMONS ISLAND, GA

Name Credential NPI
DR. THOMAS JOHN SAYER D.D.S., P.C. 1336231182
DR. KEVIN D BOYER D.M.D. 1306919360
THOMAS EDWARD BRYAN III DMD 1194108068
DR. AUSTIN NICHOLAS BROWN DDS 1699408948
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.