IndividualActive
Theodore Dougherty, D.D.S.
NPI 1760767958 · Dentist · Olney, MD
Theodore Dougherty, D.D.S. is a Dentist provider in Olney, MD (NPI 1760767958).
Provider details
- NPI number
- 1760767958
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 07093 (MD)
Practice location
18121 Georgia Ave
Suite 110
Olney, MD 20832-1437
Phone: (240) 390-0276
Street-level locationGet directions
Mailing address
1812 Georgia Ave.
Olney, MD 20832-1437
Registry dates
- Enumerated
- 2011-10-19
- Last updated
- 2011-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.