Whalio Doctors

NPI 1013055300

Rick M Dougherty, DDSABGDNDBA

Practitioner General Practice Dentistry Glendale, AZ

Practice location

Address
18301 N 79th Ave G-185, Glendale, AZ 85308-8463
Phone
(623) 931-9197
Fax
(623) 937-4385

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence D3374 (AZ)

Registry record

NPI
1013055300
Entity type
Individual
Sex (as registered)
Male
NPI issued
1 Feb 2007
Record last updated
1 Oct 2012

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.