DR. MARK DOUGHERTY D.D.S. NPI 1518053768

NPI Information

  • NPI: 1518053768
  • Provider Name: DR. MARK DOUGHERTY, D.D.S.
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • Address: 17300 YORBA LINDA BLVD
    SUITE H
    YORBA LINDA, CA
    ZIP 92886
  • Phone: (714) 993-1194

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NPI Details

DR. Mark Dougherty, D.D.S. is a periodontics dentist in Yorba Linda, CA. The provider is 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 structures and tissues. DR. Mark Dougherty, D.D.S. NPI is 1518053768. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17300 YORBA LINDA BLVD
SUITE H
YORBA LINDA, CA
ZIP 92886-810
Phone: (714) 993-1194
Fax: (714) 524-0397

The enumeration date for this NPI number is 10/5/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodontics36359CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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