Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel Thomas Doherty

Individual provider General Practice Dentistry · NPI 1598258501

Daniel Thomas Doherty is a General Practice Dentistry in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2018

Practice location Address checks out

621 S New Ballas Rd # 10
Saint Louis, MO 63141-8232
Phone: (314) 251-5775
Fax: (314) 251-5776
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2018019124 (MO)

Record details

NPI number1598258501
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 13, 2018
Last updated in NPPESJune 13, 2018
Mailing address621 S New Ballas Rd # 10, Saint Louis, MO 63141-8232

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