Provider Demographics
NPI:1730283094
Name:DOOLEY, PATRICK W (DDS)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:W
Last Name:DOOLEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23840 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:PLAQUEMINE
Mailing Address - State:LA
Mailing Address - Zip Code:70764
Mailing Address - Country:US
Mailing Address - Phone:225-687-3010
Mailing Address - Fax:225-687-4135
Practice Address - Street 1:23840 CHURCH ST
Practice Address - Street 2:
Practice Address - City:PLAQUEMINE
Practice Address - State:LA
Practice Address - Zip Code:70764
Practice Address - Country:US
Practice Address - Phone:225-687-3010
Practice Address - Fax:225-687-4135
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-08
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5398122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist