Individual provider · Type 1 NPI

Mark Harrison Herdade, DDS

Dentist · Tahlequah, OK

NPI number 1487596482 Active

Practice location

221 E Downing St
Tahlequah, OK 74464-3011

Mailing address

1515 E 21st St
Tulsa, OK 74114-1339

Other practice locations

  • 19600 E Ross St, Tahlequah, OK 74464-0545 · (539) 234-1000

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X8199 (OK)

Dentist: 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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1487596482

Mark Harrison Herdade, DDS's National Provider Identifier is 1487596482, issued on Apr 8, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Tahlequah, OK. The record was last updated on Jun 20, 2026.