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Deactivated NPI 1477677078 Deactivated / Inactive NPI Male Practitioner

Dr. David Shoff Daugherty , DDS

Dentist - General Practice • Houghton, NY

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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. David Daugherty has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 19, 2007
NPI Deactivation Date July 17, 2007
Total Practice Duration ~1 Years of Practice (2007 – 2007)

Professional Overview & Biography Verified Profile Summary

Dr. David Daugherty, DDS was a registered Dentist - General Practice practicing in Houghton, NY. Throughout an active medical career spanning 1 years, Dr. Daugherty provided care at the practice location at 9660 RT #19 until profile deactivation on 2007-07-17.

Practice Location & Contact Primary Location

Practice Address

9660 Rt #19

Houghton, NY 147440037

Telephone 5855672241
Fax 5855672297

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Houghton, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Houghton, NY (8411 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 NY 046738

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 1265653018

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Reactivated May 06, 2008

Record officially reactivated for active practice on May 06, 2008

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Updated Practice Location May 06, 2008

Registered at 9660 RT #19, HOUGHTON, NY 147440037 (Tel: 5855672241)

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Updated Business Mailing Address May 06, 2008

Registered at 9688 ROUTE 19, HOUGHTON, NY 147448710 (Tel: 5855672241)

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Provider Name / Credentials Updated May 06, 2008

Recorded as DAVID DAUGHERTY, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2008

Dentist (License #046738 in NY)

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NPI Profile Deactivated July 17, 2007

Record deactivated on July 17, 2007

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Initial NPI Registration & Enumeration March 19, 2007

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: 1477677078
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2007
Last Update: May 06, 2008
Deactivation Date: July 17, 2007
Sole Proprietor: Yes

Mailing Address

9688 Route 19

Houghton, NY 147448710

Phone: 5855672241

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.