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CONNOR THOMAS DOHERTY DDS
NPI 1790472207
Student in an Organized Health Care Education/Training Program in Lexington, KY

Active since April 24, 2023
770 ROSE STREET, LEXINGTON, KY 40536(859) 323-6080 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Connor Thomas Doherty Dds NPPES

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

CONNOR THOMAS DOHERTY DDS (NPI 1790472207) is an individual student in an organized health care education/training program in Lexington, Kentucky and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1790472207
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCONNOR THOMAS DOHERTYCredential: DDS
Location Address770 ROSE STREETLexington, KY 40536-0001
Mailing Address567 S Sierra Ave Unit 75Solana Beach, CA 92075-2238 · (917) 536-6518
Phone(859) 323-6080
Sole ProprietorNo
Enumeration DateApril 24, 2023
NPPES CertifiedApril 24, 2023
✔ NPI 1790472207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

770 ROSE STREET, Lexington, KY 40536
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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.

KATHERINE EKMAN
Dentist (General Practice)
770 ROSE STREET
LEXINGTON, KY 40536
Fayette County (859) 595-4701
BRITTANY RENEE DUMONT DMD
Dentist (General Practice)
770 ROSE STREET
LEXINGTON, KY 40536
Fayette County (859) 323-3368
DR. JILLIAN NICOLE CURTIS DMD
Dentist
770 ROSE STREET
LEXINGTON, KY 40536
Fayette County (859) 323-6193
DR. SARAH WELCH HAERLE DMD
Dentist (General Practice)
770 ROSE STREET
LEXINGTON, KY 40536
Fayette County (812) 573-8434

Frequently Asked Questions

What is Connor Doherty's NPI number?

The NPI number assigned to this healthcare provider is 1790472207, enumerated as an "individual" on April 24, 2023.

Where is the provider located?

The provider is located at 770 ROSE STREET LEXINGTON, KY 40536 and the phone number is (859) 323-6080.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.