NPI 1003077108

S Adele Doherty

Practitioner Dentist Goodlettsville, TN

Practice location

Address: 107 New Brick Church Pike Suite C, Goodlettsville, TN 37072-1545
Phone: (615) 851-4744
Mailing address: PO Box 646, Mount Juliet, TN 37121-0646

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 4679 (TN)

Other Dentist providers in Tennessee →

Dentist

Dental Providers Taxonomy 122300000X Licence 5475 (DC)

Registry record

NPI: 1003077108
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jun 2008
Record last updated: 20 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.