| Dougherty Dentistry, Pllc | |
|
19243 Fm 2252 Ste 200 Garden Ridge TX 78266-2586 | |
| (210) 880-2229 | |
| Not Available |
| Full Name | Dougherty Dentistry, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 19243 Fm 2252 Ste 200, Garden Ridge, Texas |
| Authorized Official Name and Position | Lawrence Michael Dougherty (PRESIDENT/CEO) |
| Authorized Official Contact | 2108802229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dougherty Dentistry, Pllc 19243 Fm 2252 Ste 200 San Antonio TX 78266-2586 Ph: (210) 880-2229 | Dougherty Dentistry, Pllc 19243 Fm 2252 Ste 200 Garden Ridge TX 78266-2586 Ph: (210) 880-2229 |
| NPI Number | 1952688004 |
|---|---|
| Provider Enumeration Date | 11/03/2011 |
| Last Update Date | 07/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952688004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |