MS. CARLA DAUGHERTY DDS NPI 1003874066

Dentist in St Louis, MO

About CARLA DAUGHERTY

Carla Daugherty is a provider in St Louis, MO. The NPI number assigned to this provider is 1003874066. The practitioner's primary taxonomy code is Dentist (122300000X). The provider is registered as an individual and their NPI record was last updated 5 years ago.

NPI1003874066 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMS. CARLA DAUGHERTY DDS
Provider Location Address5471 DR MARTIN LUTHER KING DR ST LOUIS, MO 63112 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address5471 DR MARTIN LUTHER KING DR ST LOUIS, MO 63112 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date05-01-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date02-04-2013 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MS. CARLA DAUGHERTY DDS
5471 DR MARTIN LUTHER KING DR
ST LOUIS, MO
ZIP 63112
Phone: (314) 367-5820
Fax: (314) 367-7010
Get Directions

Mailing Address

MS. CARLA DAUGHERTY DDS
5471 DR MARTIN LUTHER KING DR
ST LOUIS, MO
ZIP 63112
Phone: (314) 367-5820
Fax: (314) 367-7010

Primary Taxonomy

Taxonomy Code122300000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationDentist
TypeDental Providers
License No.2003002706
License StateMO
Taxonomy DescriptionA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Map Location


MS. CARLA DAUGHERTY DDS address is 5471 DR MARTIN LUTHER KING DR ST LOUIS, MO 63112

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013918481MRS. TERESITA AGUSTIN COMETA MD
Individual
Family Medicine5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
(314) 367-5820
1043212921MRS. MARGARET CHINYERE NWAOBASI RN MSN
Individual
Registered Nurse5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
(314) 367-5820
1093708117MR. NATHANIEL HAWTHORNE MURDOCK MD
Individual
Obstetrics & Gynecology5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
(314) 367-5820
1104827575MS. RENA IRONS LPN
Individual
Licensed Practical Nurse5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
(314) 367-5820
1124029632MRS. JUDY KATHERYN JAMISON RN
Individual
Registered Nurse5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
(314) 367-5820
1205829322MR. CESAR AUGUSTIN MD
Individual
Radiology (Diagnostic Radiology)5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
(314) 367-5820
1235130899MS. LISA A GARRETT BSN
Individual
Registered Nurse5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
(314) 367-5820
1265424014MS. EVELYN LORRAINE MORTON-BAKER LPN
Individual
Licensed Practical Nurse5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
(314) 367-5820
1275534794MRS. DAWN MICHELE HEIDBRINK RDH
Individual
Dental Hygienist5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
(314) 367-5820
1326030958MRS. VERNELL WHITE LPN
Individual
Licensed Practical Nurse5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
(314) 367-5820
1356342919MS. RASHUNDALA EZELLE EASTER LPN
Individual
Licensed Practical Nurse5471 DR MARTIN LUTHER KING DR
ST LOUIS, MO 63112
(314) 367-5820
1437150992MR. JEFFREY S WILSON RPH
Individual
Pharmacist5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
(314) 367-5820
1568464436MR. HENRY LANE BRADFORD DPM
Individual
Podiatrist5471 DR MARTIN LUTHER KING DR
ST LOUIS, MO 63112
(314) 367-5820
1700888641MRS. SHARON ANN TATE LPN
Individual
Licensed Practical Nurse5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
(314) 367-5820
1720071848MRS. SHAMEEM SAIFEE MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
(314) 367-5820
1720089246MRS. DEBORAH G LOMAN CPNP PHD
Individual
Nurse Practitioner5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
(314) 367-5820
1871586990MR. RON DARRYL JACKSON DDS
Individual
Dentist5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
(314) 367-5820
1932101896MRS. MARY ELEANOR THOMAS RDH
Individual
Dental Hygienist5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
(314) 367-5820
1942201413MRS. WILLA L BRANTLEY RN
Individual
Registered Nurse5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
(314) 367-5820
1982605408MR. FRANCOIS RENE CHARLES MD
Individual
Internal Medicine (Cardiovascular Disease)5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
(314) 367-5820