Mark G Dougherty is a Dentist in West Reading, Pennsylvania. Mark G Dougherty practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark G Dougherty is 1649324021. The last update date is 2007-07-08.
Mark G Dougherty's current location address is 645 Penn Ave, West Reading, Pennsylvania. You can contact this provider via phone number 6103747657 and fax number 6103741656. The mailing address for Mark G Dougherty is 645 Penn Ave, West Reading, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark G Dougherty |
|---|---|
| Address | 645 Penn Ave, West Reading, Pennsylvania |
| Phone Number | 6103747657 |
| Fax Number | 6103741656 |
| Sole Proprietor | N |
| Credentials | DR |
NPI Number Detail
| NPI Number | 1649324021 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 645 Penn Ave |
|---|---|
| City | West Reading |
| State | Pennsylvania (PA) |
| Post Code | 19611 |
| Phone Number | 6103747657 |
| Fax Number | 6103741656 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DS 25315 L |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Mark G Dougherty?
The Mark G Dougherty has been issued the NPI (National Provider Identifier) 1649324021 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mark G Dougherty's facilities are situated?
The facilities of Mark G Dougherty are physically located at the following address: 645 Penn Ave, West Reading, PA, 19611.
What is Mark G Dougherty's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark G Dougherty is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
When was the Mark G Dougherty's 1649324021 issued?
The Mark G Dougherty's 1649324021 was issued on 2007-01-22.
As of what date were the details pertaining to Mark G Dougherty last refreshed?
The information related to the Mark G Dougherty, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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