Dr. Kevin Jerome Doherty , DDS
Dentist - General Practice • Clearwater, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kevin Doherty has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Kevin Doherty, DDS was a registered Dentist - General Practice practicing in Clearwater, FL. Throughout an active medical career spanning 12 years, Dr. Doherty provided care at the practice location at 1200 S HIGHLAND AVE until profile deactivation on 2019-03-04.
Practice Location & Contact Primary Location
1200 S Highland Ave
Clearwater, FL 337564334
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Clearwater, FL
Practicing in Clearwater, FL (7473 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 04, 2019
NPI status registered as active in NPPES database
Registered at 1200 S HIGHLAND AVE, CLEARWATER, FL 337564334 (Tel: 7274411571)
Registered at 1200 S HIGHLAND AVE, CLEARWATER, FL 337564334 (Tel: 7274411571)
Recorded as KEVIN DOHERTY, DDS
Dentist (License #DN4560 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1200 S Highland Ave
Clearwater, FL 337564334
Phone: 7274411571
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