Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053493486 Individual Practitioner Male Practitioner

Dr. Larry D. Daugherty , DMD

Dentist - General Practice • St Simons Island, GA

Professional Overview & Biography Verified Profile Summary

Dr. Larry Daugherty, DMD is a registered healthcare professional specializing in Dentist - General Practice in St Simons Island, GA. Practice services are available at 124 ISLAND PROFESSIONAL PARK under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

124 Island Professional Park

St Simons Island, GA 31522

Telephone 9124344121
Fax 9122682847

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in St Simons Island, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
7 Specialists

Practicing in St Simons Island, GA (3302 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 GA 10020

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

11 Historical Events
NPI Profile Active February 24, 2017

NPI status registered as active in NPPES database

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Updated Practice Location February 24, 2017

Registered at 124 ISLAND PROFESSIONAL PARK, ST SIMONS ISLAND, GA 31522 (Tel: 9124344121)

📍
Updated Business Mailing Address February 24, 2017

Registered at 124 ISLAND PROFESSIONAL PARK, ST SIMONS ISLAND, GA 315222879 (Tel: 9124344121)

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Provider Name / Credentials Updated February 24, 2017

Recorded as LARRY DAUGHERTY, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2017

Dentist (License #10020 in GA)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 205 E WILLINGHAM ST, SYLVESTER, GA 317911747 (Tel: 2297767251)

📍
Updated Business Mailing Address July 08, 2007

Registered at 205 E WILLINGHAM ST, SYLVESTER, GA 317911747 (Tel: 2297767251)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as LARRY DAUGHERTY, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #10020 in GA)

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Initial NPI Registration & Enumeration October 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: 1053493486
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 19, 2006
Last Update: February 24, 2017
Sole Proprietor: Yes

Mailing Address

124 Island Professional Park

St Simons Island, GA 315222879

Phone: 9124344121

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.