NICOLE DOHERTY (DMD) – General Practice Dentistry, NPI 1780637736
General Practice Dentistry
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for NICOLE DOHERTY (DMD)
926, Great Pond Drive, Altamonte Springs, Seminole County, Florida, 32714, United States
SUITE 2003
ALTAMONTE SPRINGS, FL 327147244
Phone: (407) 772-5124
Fax: (407) 788-3572
Type: Mailing
Woodland Boulevard, DeLand, Volusia County, Florida, 32723, United States
DELAND, FL 327208601
Phone: (386) 738-7441
Fax: (386) 738-1299
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-05-29
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32714)
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