Individual provider · Type 1 NPI

Jeff M. Dougherty, D.M.D

General Practice Dentistry · O Fallon, MO

NPI number 1598828030 Active

About NPI 1598828030

Jeff M. Dougherty, D.M.D's National Provider Identifier is 1598828030, issued on Dec 18, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in O Fallon, MO. The record was last updated on Jul 8, 2007.