Alex Dougherty DDS PLLC
Clinic/Center, Dental in College Station, TX. Organization (NPI-2).
NPI number1295620698
StatusActive
Last updated in NPPESJun 9, 2025
Details
- NPI
- 1295620698
- Entity type
- Organization (NPI-2)
- Legal business name
- Alex Dougherty DDS PLLC
- Organization subpart
- No
- Enumeration date
- Jun 9, 2025
- Certification date
- May 23, 2025
- Last updated
- Jun 9, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
2709 Texas Ave SSuite 100
College Station, TX 77840
Phone 979-457-1287
Mailing address
2709 Texas Ave SSuite 100
College Station, TX 77840
Phone 979-457-1287
Authorized official
Alexander Dougherty
Owner
9794571287
Is something wrong?
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