DR. LARRY D. DAUGHERTY DMD
NPI 1053493486
Dentist - General Practice in St Simons Island, GA

Q: What is Larry Daugherty's NPI number?

The NPI number for Larry Daugherty is 1053493486. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Q: What is Larry Daugherty's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Larry Daugherty was last updated on February 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 19, 2006

124 ISLAND PROFESSIONAL PARK, ST SIMONS ISLAND, GA 31522(912) 434-4121(912) 268-2847 Get Directions Write a Review

NPPES record last updated: February 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Larry D. Daugherty Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LARRY D. DAUGHERTY DMD (NPI 1053493486) is an individual general practice provider in St Simons Island, Georgia, licensed in Georgia (10020) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1053493486

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. LARRY D. DAUGHERTYCredential: DMD

Location Address124 ISLAND PROFESSIONAL PARKSt Simons Island, GA 31522

Mailing Address124 Island Professional ParkSt Simons Island, GA 31522-2879 · (912) 434-4121 · Fax (912) 268-2847

Phone(912) 434-4121

Fax(912) 268-2847

Sole ProprietorYes

Enumeration DateOctober 19, 2006

Last NPPES UpdateFebruary 24, 2017

✔ NPI 1053493486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in GA · 10020

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

124 ISLAND PROFESSIONAL PARK, St Simons Island, GA 31522

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TONY NGUYEN PTA

Physical Therapy Assistant

124 ISLAND PROFESSIONAL PARK
ST SIMONS IS, GA 31522

Glynn County (912) 638-1444

JACQUELINE PAPPAS PTA

Physical Therapy Assistant

124 ISLAND PROFESSIONAL PARK
ST SIMONS IS, GA 31522

Glynn County (912) 638-1444

DR. DAVID F RICHARDSON PT, DPT

Physical Therapist

124 ISLAND PROFESSIONAL PARK
ST SIMONS IS, GA 31522

Glynn County (912) 638-1444

STEPHANIE GRIGGS ATC

Specialist/Technologist (Athletic Trainer)

124 ISLAND PROFESSIONAL PARK
ST SIMONS IS, GA 31522

Glynn County (912) 638-1444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Daugherty's NPI number?

The NPI number for Larry Daugherty is 1053493486. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Larry Daugherty located?

Larry Daugherty practices at 124 Island Professional Park, St Simons Island, GA 31522. The listed phone number is (912) 434-4121.

What is Larry Daugherty's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Larry Daugherty was last updated on February 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.