M SHANNON DAUGHERTY DMD, PC
NPI 1922800929
Dentist - Endodontics in Dothan, AL

Q: What is M Shannon Daugherty Dmd, PC's NPI number?

The NPI number for M Shannon Daugherty Dmd, PC is 1922800929. It was assigned to this organization in the NPPES registry on March 27, 2025. The provider is doing business as Daugherty Endodontics.

Q: What is M Shannon Daugherty Dmd, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Active since March 27, 2025

200 GROVE PARK LN STE 600, DOTHAN, AL 36305(334) 699-3636 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About M Shannon Daugherty Dmd, Pc NPPES

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

M SHANNON DAUGHERTY DMD, PC (NPI 1922800929), doing business as Daugherty Endodontics, is a healthcare organization registered as an endodontics in Dothan, Alabama and active in the NPI registry since March 2025. The organization lists Sami Johnson, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1922800929

Entity TypeOrganization

Primary Taxonomy1223E0200X

Legal Business NameM SHANNON DAUGHERTY DMD, PC

Location Address200 GROVE PARK LN STE 600Dothan, AL 36305-5921

Mailing Address200 Grove Park Ln Ste 600Dothan, AL 36305-5921 · (334) 699-3636

Phone(334) 699-3636

Organization SubpartNo

Authorized OfficialSami JohnsonPractice Manager · (334) 699-3636

Enumeration DateMarch 27, 2025

NPPES CertifiedMarch 27, 2025

✔ NPI 1922800929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

200 GROVE PARK LN STE 600, Dothan, AL 36305

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Other Names 1

Doing Business AsDaugherty Endodontics

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

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 M Shannon Daugherty Dmd, PC's NPI number?

The NPI number for M Shannon Daugherty Dmd, PC is 1922800929. It was assigned to this organization in the NPPES registry on March 27, 2025. The provider is doing business as Daugherty Endodontics.

Where is M Shannon Daugherty Dmd, PC located?

M Shannon Daugherty Dmd, PC is located at 200 Grove Park Ln Ste 600, Dothan, AL 36305. The listed phone number is (334) 699-3636.

What is M Shannon Daugherty Dmd, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for M Shannon Daugherty Dmd, PC was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.