DR. Larry D. Daugherty, DMD

NPI #1053493486 in St Simons Island, Georgia

Provider Information

NPI Number: 1053493486
Entity Type: Individual
Name: DR. Larry D. Daugherty, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Oct 19, 2006
Last Updated: Feb 24, 2017

Practice Location

Address: 124 ISLAND PROFESSIONAL PARK
City: St Simons Island
State: Georgia
ZIP Code: 31522
Phone: (912) 434-4121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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