Organization · Type 2 NPI
Mark R Doherty DDS PC
Dental Clinic/Center · Pryor, OK
NPI number
1285147694
Active
Practice location
26 Surfside Rd
Pryor, OK 74361-3306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Pryor
About NPI 1285147694
Mark R Doherty DDS PC's National Provider Identifier is 1285147694, issued on Nov 7, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Pryor, OK. The record was last updated on Jul 31, 2019.