IndividualActive
Thomas Dougherty, D.M.D.
NPI 1043374515 · Oral and Maxillofacial Surgery (Dentist) · Wilmington, DE
Provider details
- NPI number
- 1043374515
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- G10000905 (DE)
Practice location
5317 Limestone Rd
Wilmington, DE 19808-1252
Phone: (302) 239-2500
Fax: (302) 239-0550
Mailing address
5317 Limestone Rd
Wilmington, DE 19808-1035
Registry dates
- Enumerated
- 2006-12-20
- Last updated
- 2008-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.