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

Dr. Michael Reardon Doherty, DDS

Individual provider Dentist · NPI 1518371020

Dr. Michael Reardon Doherty, DDS is a Dentist in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in
MO
In the registry since
2014
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone: (314) 251-6930
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2014016792 (MO)

Record details

NPI number1518371020
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 12, 2014
Last updated in NPPESJune 12, 2014
Mailing address615 S New Ballas Rd, Saint Louis, MO 63141-8221

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