JOHN MICHAEL DAUGHERTY D.D.S.
NPI 1386732501
Dentist - General Practice in Bloomington, MN

Active since October 11, 2006
8900 PENN AVE S, SUITE 202, BLOOMINGTON, MN 55431(952) 888-1861(952) 888-1883 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John Michael Daugherty D.d.s. NPPES

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

JOHN MICHAEL DAUGHERTY D.D.S. (NPI 1386732501) is an individual general practice provider in Bloomington, Minnesota, licensed in Minnesota (7408) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1386732501
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJOHN MICHAEL DAUGHERTYCredential: D.D.S.
Location Address8900 PENN AVE S, SUITE 202Bloomington, MN 55431-2068
Mailing Address8900 Penn Ave S, Suite 202Bloomington, MN 55431-2068 · (952) 888-1861 · Fax (952) 888-1883
Fax(952) 888-1883
Sole ProprietorYes
Enumeration DateOctober 11, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1386732501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MN · 7408
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.

8900 PENN AVE S, Bloomington, MN 55431

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Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Dentist
8900 PENN AVE S, STE 201
BLOOMINGTON, MN 55431
Chiropractor
8900 PENN AVE S, SUITE #116
BLOOMINGTON, MN 55431
Dentist
8900 PENN AVE S, #307
BLOOMINGTON, MN 55431
Dentist (Endodontics)
8900 PENN AVE S, 105
BLOOMINGTON, MN 55431
Dentist (Orthodontics and Dentofacial Orthopedics)
8900 PENN AVE S, SUITE 216
BLOOMINGTON, MN 55431
Dentist
8900 PENN AVE S, #112
BLOOMINGTON, MN 55431
Chiropractor
8900 PENN AVE S, SUITE 116
BLOOMINGTON, MN 55431
Dentist
8900 PENN AVE S, SUITE 307
BLOOMINGTON, MN 55431
Dentist (General Practice)
8900 PENN AVE S, SUITE #112
BLOOMINGTON, MN 55431
Psychologist
8900 PENN AVE S, SUITE 301
BLOOMINGTON, MN 55431
Dentist
8900 PENN AVE S, SUITE #202
BLOOMINGTON, MN 55431
Nurse Practitioner (Psychiatric/Mental Health)
8900 PENN AVE S
BLOOMINGTON, MN 55431
Dentist (General Practice)
8900 PENN AVE S, SUITE 202
BLOOMINGTON, MN 55431

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386732501, enumerated as an "individual" on October 11, 2006.

The provider is located at 8900 PENN AVE S SUITE 202 BLOOMINGTON, MN 55431 and the phone number is (952) 888-1861.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.