Mark A. Dougherty, D.D.S., Inc in Yorba Linda - Periodontics
Mark A. Dougherty, D.D.S., Inc - NPI 1164540696
Mark A. Dougherty, D.D.S., Inc is a Periodontics in Yorba Linda, California. Mark A. Dougherty, D.D.S., Inc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Mark A. Dougherty, D.D.S., Inc is 1164540696. The last update date is 2020-08-22.
Mark A. Dougherty, D.D.S., Inc's current location address is 17300 Yorba Linda Blvd Ste H, Yorba Linda, California. You can contact this provider via phone number 7149931194 and fax number 7145240397. The mailing address for Mark A. Dougherty, D.D.S., Inc is 17300 Yorba Linda Blvd Ste H, Yorba Linda, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mark A. Dougherty, D.D.S., Inc |
|---|---|
| Address | 17300 Yorba Linda Blvd Ste H, Yorba Linda, California |
| Phone Number | 7149931194 |
| Fax Number | 7145240397 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Dougherty A Mark |
| Credentials | D.D.S. |
| Telephone Number | 7149931194 |
NPI Number Detail
| NPI Number | 1164540696 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 17300 Yorba Linda Blvd Ste H |
|---|---|
| City | Yorba Linda |
| State | California (CA) |
| Post Code | 928863810 |
| Phone Number | 7149931194 |
| Fax Number | 7145240397 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
|
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique identification code assigned to Mark A. Dougherty, D.D.S., Inc by the Centers for Medicare & Medicaid Services?
The Mark A. Dougherty, D.D.S., Inc has been issued the NPI (National Provider Identifier) 1164540696. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mark A. Dougherty, D.D.S., Inc located?
The Mark A. Dougherty, D.D.S., Inc is located at 17300 Yorba Linda Blvd Ste H, Yorba Linda, CA 928863810.
What is Mark A. Dougherty, D.D.S., Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark A. Dougherty, D.D.S., Inc is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.
When did the Mark A. Dougherty, D.D.S., Inc receive its 1164540696?
The Mark A. Dougherty, D.D.S., Inc was issued its 1164540696 on 2007-03-26, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Mark A. Dougherty, D.D.S., Inc most recently updated or revised?
The information pertaining to Mark A. Dougherty, D.D.S., Inc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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