Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780637736 Individual Practitioner Female Practitioner

Dr. Nicole Doherty , DMD

Dentist - General Practice • Deland, FL

Professional Overview & Biography Verified Profile Summary

Dr. Nicole Doherty, DMD is a registered healthcare professional specializing in Dentist - General Practice in Deland, FL. Practice services are available at 2641 S WOODLAND BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2641 S Woodland Blvd

Deland, FL 327208601

Telephone 3867387441
Fax 3867381299
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Deland, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
20 Specialists

Practicing in Deland, FL (7473 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 FL DN15963

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. Dzung Nguyen , DMD

Dentist - General Practice

NPI 1093775280

Doctor of Dental Medicine

Dr. Caroline Pawlak , DMD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1316364458

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 23, 2010

NPI status registered as active in NPPES database

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Updated Practice Location March 23, 2010

Registered at 2641 S WOODLAND BLVD, DELAND, FL 327208601 (Tel: 3867387441)

📍
Updated Business Mailing Address March 23, 2010

Registered at 926 GREAT POND DR, SUITE 2003, ALTAMONTE SPRINGS, FL 327147244 (Tel: 4077725124)

👤
Provider Name / Credentials Updated March 23, 2010

Recorded as NICOLE DOHERTY, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2010

Dentist (License #DN15963 in FL)

🟢
Initial NPI Registration & Enumeration May 19, 2006

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: 1780637736
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2006
Last Update: March 23, 2010
Sole Proprietor: No

Mailing Address

926 Great Pond Dr, Suite 2003

Altamonte Springs, FL 327147244

Phone: 4077725124

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.