DR. Mark Robert Doherty, DDS

NPI #1952400079 in Pryor, Oklahoma

Provider Information

NPI Number: 1952400079
Entity Type: Individual
Name: DR. Mark Robert Doherty, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Sep 22, 2006
Last Updated: Jul 31, 2019

Practice Location

Address: 26 SURFSIDE RD
City: Pryor
State: Oklahoma
ZIP Code: 74361-3306
Phone: (918) 344-2780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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DR. Lori Triebel Smith, DDS	Dentist - General Practice	Pryor	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Dental Group PC	Dentist - General Practice	Pryor	AI Deep Dive
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