Mark Robert Doherty in Pryor - General Practice
Mark Robert Doherty - NPI 1952400079
Mark Robert Doherty is a General Practice in Pryor, Oklahoma. Mark Robert Doherty practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark Robert Doherty is 1952400079. The last update date is 2019-07-31.
Mark Robert Doherty's current location address is 26 Surfside Rd, Pryor, Oklahoma. You can contact this provider via phone number 9183442780. The mailing address for Mark Robert Doherty is 26 Surfside Rd, Pryor, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Robert Doherty |
|---|---|
| Address | 26 Surfside Rd, Pryor, Oklahoma |
| Phone Number | 9183442780 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1952400079 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2019-07-31 |
Provider Mailing Address Detail
| Address | 26 Surfside Rd |
|---|---|
| City | Pryor |
| State | Oklahoma (OK) |
| Post Code | 743613306 |
| Phone Number | 9183442780 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5274 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identification code assigned to Mark Robert Doherty by the Centers for Medicare & Medicaid Services?
The Mark Robert Doherty has been issued the NPI (National Provider Identifier) 1952400079. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mark Robert Doherty's facilities are geographically located?
The facilities of Mark Robert Doherty are physically situated at the following location: 26 Surfside Rd, Pryor, OK, 743613306.
What is Mark Robert Doherty's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark Robert Doherty is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
When did the Mark Robert Doherty receive its 1952400079?
The Mark Robert Doherty was issued its 1952400079 on 2006-09-22, which is the date when the organization was assigned this unique identifier.
When was the information regarding Mark Robert Doherty most recently updated?
The details pertaining to the Mark Robert Doherty, including its address, specialty, and other relevant information, were last refreshed on 2019-07-31.
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