Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386732501 Individual Practitioner Male Practitioner

Dr. John Michael Daugherty , DDS

Dentist - General Practice • Bloomington, MN

Professional Overview & Biography Verified Profile Summary

Dr. John Daugherty, DDS is a registered healthcare professional specializing in Dentist - General Practice in Bloomington, MN. Practice services are available at 8900 PENN AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8900 Penn Ave S
Suite 202

Bloomington, MN 554312068

Telephone 9528881861
Fax 9528881883
Associated Practice Facility / Clinic
🏢 Kuipers Orthodontics Facility NPI 1265589642

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bloomington, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
38 Specialists

Practicing in Bloomington, MN (2262 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 MN 7408

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

1 Associated Practitioners
NPI 1184846305

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 8900 PENN AVE S, SUITE 202, BLOOMINGTON, MN 554312068 (Tel: 9528881861)

📍
Updated Business Mailing Address July 08, 2007

Registered at 8900 PENN AVE S, SUITE 202, BLOOMINGTON, MN 554312068 (Tel: 9528881861)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN DAUGHERTY, D.D.S.

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

Dentist (License #7408 in MN)

🟢
Initial NPI Registration & Enumeration October 11, 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: 1386732501
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

8900 Penn Ave S, Suite 202

Bloomington, MN 554312068

Phone: 9528881861

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.