IndividualActive
S Doherty
NPI 1003077108 · Dentist · Goodlettsville, TN
Provider details
- NPI number
- 1003077108
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 4679 (TN)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
107 New Brick Church Pike
Suite C
Goodlettsville, TN 37072-1545
Phone: (615) 851-4744
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 646
Mount Juliet, TN 37121-0646
Registry dates
- Enumerated
- 2008-06-20
- Last updated
- 2008-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.