OrganizationActive
Kevin P. Dougherty, DMD, PA
NPI 1104949064 · General Practice Dentistry · Chatham, NJ
Kevin P. Dougherty, DMD, PA is a General Practice Dentistry organization in Chatham, NJ (NPI 1104949064).
Provider details
- NPI number
- 1104949064
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kevin Dougherty, President(973) 377-3000
- License
- D15205 (NJ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 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
475 Shunpike Rd
Chatham, NJ 07928-1528
Phone: (973) 377-3000
Fax: (973) 377-0909
Street-level locationGet directions
Mailing address
475 Shunpike Rd
Chatham, NJ 07928-1528
Registry dates
- Enumerated
- 2007-04-07
- Last updated
- 2020-08-22
Frequently asked questions
- What is Kevin P. Dougherty, DMD, PA's NPI number?
- Kevin P. Dougherty, DMD, PA's National Provider Identifier (NPI) is 1104949064, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kevin P. Dougherty, DMD, PA?
- Kevin P. Dougherty, DMD, PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Kevin P. Dougherty, DMD, PA located?
- Kevin P. Dougherty, DMD, PA's practice location on file with NPPES is 475 Shunpike Rd, Chatham, NJ 07928-1528.
- What is Kevin P. Dougherty, DMD, PA's phone number?
- The practice phone number listed in the NPPES registry for Kevin P. Dougherty, DMD, PA is (973) 377-3000.
- Who is the authorized official for Kevin P. Dougherty, DMD, PA?
- The authorized official listed on Kevin P. Dougherty, DMD, PA's NPPES record is Kevin Dougherty, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kevin P. Dougherty, DMD, PA's NPI active?
- Yes — Kevin P. Dougherty, DMD, PA's NPI (1104949064) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.