KEVIN P. DOUGHERTY, DMD, PA
NPI 1104949064
Dentist - General Practice in Chatham, NJ

Q: What is Kevin P. Dougherty, Dmd, PA's NPI number?

The NPI number for Kevin P. Dougherty, Dmd, PA is 1104949064. It was assigned to this organization in the NPPES registry on April 7, 2007.

Q: What is Kevin P. Dougherty, Dmd, PA's specialty?

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

Active since April 07, 2007

475 SHUNPIKE RD, CHATHAM, NJ 07928(973) 377-3000(973) 377-0909 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kevin P. Dougherty, Dmd, Pa NPPES

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

KEVIN P. DOUGHERTY, DMD, PA (NPI 1104949064) is a healthcare organization registered as a general practice in Chatham, New Jersey and active in the NPI registry since April 2007. The organization lists Kevin Paul Dougherty, President, as its authorized official.

NPPES Registry Identity

NPI1104949064

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameKEVIN P. DOUGHERTY, DMD, PA

Location Address475 SHUNPIKE RDChatham, NJ 07928-1528

Mailing Address475 Shunpike RdChatham, NJ 07928-1528 · (973) 377-3000 · Fax (973) 377-0909

Phone(973) 377-3000

Fax(973) 377-0909

Organization SubpartNo

Authorized OfficialKevin Paul DoughertyPresident · (973) 377-3000

Enumeration DateApril 7, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1104949064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NJ · D15205

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.

475 SHUNPIKE RD, Chatham, NJ 07928

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. KEVIN PAUL DOUGHERTY DMD

Dentist (General Practice)

475 SHUNPIKE RD
CHATHAM, NJ 07928

Morris County (973) 377-3000

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 Kevin P. Dougherty, Dmd, PA's NPI number?

The NPI number for Kevin P. Dougherty, Dmd, PA is 1104949064. It was assigned to this organization in the NPPES registry on April 7, 2007.

Where is Kevin P. Dougherty, Dmd, PA located?

Kevin P. Dougherty, Dmd, PA is located at 475 Shunpike Rd, Chatham, NJ 07928. The listed phone number is (973) 377-3000.

What is Kevin P. Dougherty, Dmd, PA'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 Kevin P. Dougherty, Dmd, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.