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Active NPI 1952400079 Individual Practitioner Male Practitioner

Dr. Mark Robert Doherty , DDS

Dentist - General Practice • Pryor, OK

Professional Overview & Biography Verified Profile Summary

Dr. Mark Doherty, DDS is a registered healthcare professional specializing in Dentist - General Practice in Pryor, OK. Practice services are available at 26 SURFSIDE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

26 Surfside Rd

Pryor, OK 743613306

Telephone 9183442780
Associated Practice Facility / Clinic
🏢 Mark R Doherty Dds Pc Facility NPI 1285147694

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Pryor, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
5 Specialists

Practicing in Pryor, OK (1496 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OK 5274

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location July 31, 2019

Registered at 26 SURFSIDE RD, PRYOR, OK 743613306 (Tel: 9183442780)

📍
Updated Business Mailing Address July 31, 2019

Registered at 26 SURFSIDE RD, PRYOR, OK 743613306 (Tel: 9183442780)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2019

Dentist (License #5274 in OK)

📍
Updated Business Mailing Address August 15, 2018

Registered at P.O. BOX 336, PRYOR, OK 743620336 (Tel: 9183442780)

👤
Provider Name / Credentials Updated August 15, 2018

Recorded as MARK DOHERTY, DDS

✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1909 S ELLIOTT ST, PRYOR, OK 743618027 (Tel: 9188250941)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1909 S ELLIOTT ST, PRYOR, OK 743618027 (Tel: 9188250941)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK DOHERTY, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #75274 in OK)

🟢
Initial NPI Registration & Enumeration September 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952400079
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2006
Last Update: July 31, 2019
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

26 Surfside Rd

Pryor, OK 743613306

Phone: 9183442780

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.