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Active NPI 1013055300 Individual Practitioner Male Practitioner

Dr. Rick M Dougherty , DDS, ABGD, NDBA

Dentist - General Practice • Glendale, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Rick Dougherty, DDS, ABGD, NDBA is a registered healthcare professional specializing in Dentist - General Practice in Glendale, AZ. Practice services are available at 18301 N 79TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

18301 N 79th Ave
G-185

Glendale, AZ 853088463

Telephone 6239319197
Fax 6239374385
Associated Practice Facility / Clinic
🏢 Sepideh Malekpour, Dds, Pllc Facility NPI 1922067404

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Glendale, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.5 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
150 Specialists

Practicing in Glendale, AZ (2600 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ D3374

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Gary Lines , DMD

Dentist - Oral and Maxillofacial Surgery

NPI 1588771125

Doctor of Dental Medicine

Dr. Steven Hengen , DMD, MD

Dentist - Oral and Maxillofacial Surgery

NPI 1669007712

Doctor of Dental Medicine, Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 01, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 01, 2012

Registered at 18301 N 79TH AVE, G-185, GLENDALE, AZ 853088463 (Tel: 6239319197)

📍
Updated Business Mailing Address October 01, 2012

Registered at 18301 N 79TH AVE, G-185, GLENDALE, AZ 853088463 (Tel: 6239319197)

👤
Provider Name / Credentials Updated October 01, 2012

Recorded as RICK DOUGHERTY, DDS, ABGD, NDBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2012

Dentist (License #D3374 in AZ)

🟢
Initial NPI Registration & Enumeration February 01, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013055300
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2007
Last Update: October 01, 2012
Sole Proprietor: No

Mailing Address

18301 N 79th Ave, G-185

Glendale, AZ 853088463

Phone: 6239319197

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.