IndividualActive
Larry Daugherty, DMD
NPI 1053493486 · General Practice Dentistry · St Simons Island, GA
Larry Daugherty, DMD is a General Practice Dentistry provider in St Simons Island, GA (NPI 1053493486).
Provider details
- NPI number
- 1053493486
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 10020 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
124 Island Professional Park
St Simons Island, GA 31522
Phone: (912) 434-4121
Fax: (912) 268-2847
Approximate (ZIP-level) locationGet directions
Mailing address
124 Island Professional Park
St Simons Island, GA 31522-2879
Registry dates
- Enumerated
- 2006-10-19
- Last updated
- 2017-02-24
Frequently asked questions
- What is Larry Daugherty's NPI number?
- Larry Daugherty's National Provider Identifier (NPI) is 1053493486, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larry Daugherty's specialty?
- Larry Daugherty is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Larry Daugherty located?
- Larry Daugherty's practice location on file with NPPES is 124 Island Professional Park, St Simons Island, GA 31522.
- What is Larry Daugherty's phone number?
- The practice phone number listed in the NPPES registry for Larry Daugherty is (912) 434-4121.
- Is Larry Daugherty's NPI active?
- Yes — Larry Daugherty's NPI (1053493486) is active in the NPPES registry as of the last update on 2017-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.