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Active NPI 1598258501 Individual Practitioner Male Practitioner

Daniel Thomas Doherty

Dentist - General Practice • Saint Louis, MO

Professional Overview & Biography Verified Profile Summary

Daniel Doherty is a registered healthcare professional specializing in Dentist - General Practice in Saint Louis, MO. Practice services are available at 621 S NEW BALLAS RD # 10 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

621 S New Ballas Rd # 10

Saint Louis, MO 631418232

Telephone 3142515775
Fax 3142515776
Associated Practice Facility / Clinic
🏢 Stuart D. Waite Dds Pc Facility NPI 1316020308

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Saint Louis, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
270 Specialists

Practicing in Saint Louis, MO (2113 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 MO 2018019124

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

17 Associated Practitioners
Dr. Shuka Moshiri , DMD

Dentist - General Practice

NPI 1043507692

Doctor of Dental Medicine

NPI 1114034469

Doctor of Dental Surgery

NPI 1194341529

Doctor of Dental Medicine

Doctor of Dental Surgery

Dr. Christopher Vonscio , DDS

Dentist - General Practice

NPI 1356283162

Doctor of Dental Surgery

NPI 1356833115

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 June 13, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 13, 2018

Registered at 621 S NEW BALLAS RD # 10, SAINT LOUIS, MO 631418232 (Tel: 3142515775)

📍
Updated Business Mailing Address June 13, 2018

Registered at 621 S NEW BALLAS RD # 10, SAINT LOUIS, MO 631418232 (Tel: 3142515775)

👤
Provider Name / Credentials Updated June 13, 2018

Recorded as DANIEL DOHERTY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2018

Dentist (License #2018019124 in MO)

🟢
Initial NPI Registration & Enumeration June 13, 2018

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: 1598258501
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2018
Last Update: June 13, 2018
Sole Proprietor: Yes

Mailing Address

621 S New Ballas Rd # 10

Saint Louis, MO 631418232

Phone: 3142515775

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.