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

Individual provider General Practice Dentistry · NPI 1053493486

Dr. Larry D. Daugherty, DMD is a General Practice Dentistry in St Simons Island, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

124 Island Professional Park
St Simons Island, GA 31522
Phone: (912) 434-4121
Fax: (912) 268-2847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 10020 (GA)

Record details

NPI number1053493486
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedOctober 19, 2006
Last updated in NPPESFebruary 24, 2017
Mailing address124 Island Professional Park, St Simons Island, GA 31522-2879

Other providers in St Simons Island