DR. MARK ROBERT DOHERTY DDS
NPI 1952400079
Dentist - General Practice in Pryor, OK

Active since September 22, 2006
26 SURFSIDE RD, PRYOR, OK 74361(918) 344-2780 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 31, 2019, Aug 15, 2018 (2 updates tracked since 2018).

About Dr. Mark Robert Doherty Dds NPPES

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

DR. MARK ROBERT DOHERTY DDS (NPI 1952400079) is an individual general practice provider in Pryor, Oklahoma, licensed in Oklahoma (5274) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1952400079
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK ROBERT DOHERTYCredential: DDS
Location Address26 SURFSIDE RDPryor, OK 74361-3306
Mailing Address26 Surfside RdPryor, OK 74361-3306 · (918) 344-2780
Sole ProprietorYes
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJuly 31, 20192 updates tracked since enumeration
NPI 1952400079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OK · 5274
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
26 SURFSIDE RD, Pryor, OK 74361

Accepted Insurance

Other Providers at the Same Location NPPES

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

Clinic/Center (Dental)
26 SURFSIDE RD
PRYOR, OK 74361

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 Doherty's NPI number?

The NPI number for Mark Doherty is 1952400079. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Mark Doherty located?

Mark Doherty practices at 26 Surfside Rd, Pryor, OK 74361. The listed phone number is (918) 344-2780.

What is Mark Doherty's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Mark Doherty accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 1 other insurer list Mark Doherty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Doherty was last updated on July 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.