National Provider Identifier
David Shoff Daugherty, DDS
David Shoff Daugherty, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Houghton, NY and a listed phone number of (585) 567-2241.
Profile Overview
- NPI
- 1477677078
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- March 19, 2007
- Last Updated
- May 06, 2008
Practice Location
- 9660 Rt #19
- Houghton, NY 14744-0037
Phone: (585) 567-2241
Mailing Address
- 9688 Route 19
- Houghton, NY 14744-8710
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1477677078
- Entity Type
- Individual
- Last Name
- Daugherty
- First Name
- David
- Middle Name
- Shoff
- Name Prefix
- Mr.
- Credential
- DDS
- Mailing Street Address
- 9688 Route 19
- Mailing City
- Houghton
- Mailing State
- NY
- Mailing ZIP Code
- 14744-8710
- Mailing Country
- US
- Mailing Phone
- (585) 567-2241
- Mailing Fax
- (585) 567-2297
- Practice Street Address
- 9660 Rt #19
- Practice City
- Houghton
- Practice State
- NY
- Practice ZIP Code
- 14744-0037
- Practice Country
- US
- Practice Phone
- (585) 567-2241
- Practice Fax
- (585) 567-2297
- Enumeration Date
- March 19, 2007
- Last Updated
- May 06, 2008
- Deactivation Date
- July 17, 2007
- Reactivation Date
- May 06, 2008
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)