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MARK A. DOUGHERTY, D.D.S., INC
NPI 1164540696
Dentist - Periodontics in Yorba Linda, CA

Active since March 26, 2007
17300 YORBA LINDA BLVD STE H, YORBA LINDA, CA 92886(714) 993-1194(714) 524-0397 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark A. Dougherty, D.d.s., Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK A. DOUGHERTY, D.D.S., INC (NPI 1164540696) is a healthcare organization registered as a periodontics in Yorba Linda, California and active in the NPI registry since March 2007. The organization lists Mark A Dougherty, President, as its authorized official.

NPPES Registry Identity

NPI1164540696
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameMARK A. DOUGHERTY, D.D.S., INC
Location Address17300 YORBA LINDA BLVD STE HYorba Linda, CA 92886-3810
Mailing Address17300 Yorba Linda Blvd Ste HYorba Linda, CA 92886-3810 · (714) 993-1194 · Fax (714) 524-0397
Phone(714) 993-1194
Fax(714) 524-0397
Organization SubpartNo
Authorized OfficialMark A DoughertyPresident · (714) 993-1194
Enumeration DateMarch 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1164540696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
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 structures and tissues.
17300 YORBA LINDA BLVD STE H, Yorba Linda, CA 92886
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SANDY KU DMD
Dentist (Periodontics)
17300 YORBA LINDA BLVD STE H
YORBA LINDA, CA 92886
Orange County (714) 993-1194
SANDY KU DMD, INC
Dentist (Periodontics)
17300 YORBA LINDA BLVD STE H
YORBA LINDA, CA 92886
Orange County (714) 993-1194

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark A. Dougherty, D.D.S., Inc's NPI number?

The NPI number for Mark A. Dougherty, D.D.S., Inc is 1164540696. It was assigned to this organization in the NPPES registry on March 26, 2007.

Where is Mark A. Dougherty, D.D.S., Inc located?

Mark A. Dougherty, D.D.S., Inc is located at 17300 Yorba Linda Blvd Ste H, Yorba Linda, CA 92886. The listed phone number is (714) 993-1194.

What is Mark A. Dougherty, D.D.S., Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Mark A. Dougherty, D.D.S., Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.