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Active NPI 1497432033 Individual Practitioner Female Practitioner

Dr. Mckenzie Leigh Daugherty , DMD

Dentist - General Practice • Broadway, NC

Professional Overview & Biography Verified Profile Summary

Dr. Mckenzie Daugherty, DMD is a registered healthcare professional specializing in Dentist - General Practice in Broadway, NC. Practice services are available at 103 CHURCH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

103 Church St

Broadway, NC 275059394

Telephone 9192589321
Associated Practice Facility / Clinic
🏢 Eldon F Sloan Iii Dds Pllc Facility NPI 1235476557

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Broadway, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
5 Specialists

Practicing in Broadway, NC (4047 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

CMS Verified: 2026-07-01
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NC 14739

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

3 Associated Practitioners
Eldon Sloan

Dentist - General Practice

NPI 1184700320
NPI 1336867134
Dr. Eldon Sloan , DDS

Dentist - General Practice

NPI 1982815353

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 01, 2026

Registered at 103 CHURCH ST, BROADWAY, NC 275059394 (Tel: 9192589321)

📍
Updated Business Mailing Address July 01, 2026

Registered at 120 S BREAM CT, ANGIER, NC 275016317

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2026

Dentist (License #14739 in NC)

NPI Profile Active July 04, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location July 04, 2023

Registered at 1851 MACGREGOR DOWNS RD, GREENVILLE, NC 278345925 (Tel: 2527377000)

📍
Updated Business Mailing Address July 04, 2023

Registered at 1851 MACGREGOR DOWNS RD, GREENVILLE, NC 278345925

👤
Provider Name / Credentials Updated July 04, 2023

Recorded as MCKENZIE DAUGHERTY, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 04, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 04, 2023

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: 1497432033
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 04, 2023
Last Update: July 01, 2026
Sole Proprietor: No

Mailing Address

120 S Bream Ct

Angier, NC 275016317

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.