DR. MARK DOUGHERTY (NPI# 1518053768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518053768 |
| Entity Type | Individual |
| Full Name | DR. MARK DOUGHERTY |
| Credential | D.D.S. |
| Practice Address |
17300 Yorba Linda Blvd Suite H Yorba Linda CA 92886-3810 |
| Practice Telephone | 7149931194 |
| Practice Fax Number | 7145240397 |
| Mailing Telephone | 7149931194 |
| Mailing Fax Number | 7145240397 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
36359 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649324021 | Mark G Dougherty | Dentist | 645 Penn Ave, West Reading, PA 19611 | 2007-01-22 |
| 1265925234 | Mark Chrysostom Dougherty | Neurological Surgery | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2018-06-13 |
| 1427016542 | Mark H Dougherty | Anesthesiology | 690 Canton St, Suite 325, Westwood, MA 02090-2321 | 2006-05-01 |
| 1326049628 | Mark J Dougherty | Internal Medicine | 1720 Nicholasville Rd, Suite 602, Lexington, KY 40503-1475 | 2005-08-09 |
| Street Address |
17300 YORBA LINDA BLVD SUITE H |
| City | YORBA LINDA |
| State | CA |
| Zip Code | 92886-3810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083647085 | Antonino N Ruscitto Dds Inc | Dentist | 17300 Yorba Linda Blvd, Ste E, Yorba Linda, CA 92886-3810 | 2006-07-10 |
| 1841679453 | Antonino Nicola Ruscitto | Dentist | 17300 Yorba Linda Blvd, Suite E, Yorba Linda, CA 92886 | 2015-05-28 |
| 1376957225 | Shannon Oh Jamison, Dds Inc. | Dentist | 17300 Yorba Linda Blvd, Suite #c, Yorba Linda, CA 92886-3810 | 2014-06-19 |
| 1912342940 | Terence Alan Kilker | Dentist | 17300 Yorba Linda Blvd, Ste. B, Yorba Linda, CA 92886-3810 | 2013-05-03 |
| 1811293160 | Matthew Paul Amero | Dentist | 17300 Yorba Linda Blvd, Suite F, Yorba Linda, CA 92886-3810 | 2011-02-03 |
| 1063641256 | Gary L Devian | Dentist | 17300 Yorba Linda Blvd, Suite K, Yorba Linda, CA 92886-3810 | 2009-07-08 |
| 1770703936 | Brian J. Saunders | Dentist | 17300 Yorba Linda Blvd, Ste. G, Yorba Linda, CA 92886-3810 | 2007-04-27 |
| 1831220490 | Terence A. Kilker D.d.s., A Professional Corporation | Dentist | 17300 Yorba Linda Blvd, Ste. B, Yorba Linda, CA 92886-3810 | 2007-03-08 |
| 1891702908 | John J. Myers, D.d.s., Inc | Dentist | 17300 Yorba Linda Blvd, Suite F, Yorba Linda, CA 92886-3810 | 2006-08-02 |
| 1659386985 | John J Myers | Dentist | 17300 Yorba Linda Blvd, Suite F, Yorba Linda, CA 92886-3810 | 2006-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719323 | Mualla Akdeniz | Technician | 5125 Avocado Cir, Yorba Linda, CA 92886 | 2019-09-13 |
| 1790175651 | Robert Harrison Collier | Ophthalmology | 5377 Via Morena, Yorba Linda, CA 92886 | 2015-01-30 |
| 1013306695 | Henry Hoanh Tran | Occupational Therapist | 4711 Avenida De Las Estell, Yorba Linda, CA 92886 | 2015-01-20 |
| 1750770947 | Cecille Suzette Yu | Registered Nurse | 18080 Imperial Highway, Yorba Linda, CA 92886 | 2015-01-12 |
| 1922439256 | Britni Rodriguez | Acupuncturist | 17866 Ranch Dr, Yorba Linda, CA 92886 | 2013-12-12 |
| 1083048755 | Usura Management Corporation | Durable Medical Equipment & Medical Supplies | 20409 Yorba Linda Blvd, Yorba Linda, CA 92886 | 2013-08-29 |
| 1912215955 | Goretti Kantumbare Macharia | Licensed Vocational Nurse | 16742 Meadowview Dr, Yorba Linda, CA 92886 | 2010-09-23 |
| 1548576929 | Nancee Renee Perez | Dietitian, Registered | 18200 Yorba Linda Boulevard, Suite 401, Yorba Linda, CA 92886 | 2010-08-24 |
| 1366764300 | Marcela Fabiola O'con | Registered Nurse | 4795 Logana Plz, Yorba Linda, CA 92886 | 2010-02-18 |
| 1598996126 | R.e. Mayer, D.d.s., P.C. | Dentist | 2901 E. Katella Avenue, Suite A, Orange, CA 92886 | 2009-07-30 |
| Find all providers in zip 92886 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164540696 | Mark A. Dougherty, D.d.s., Inc | Dentist | 17300 Yorba Linda Blvd Ste H, Yorba Linda, CA 92886-3810 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204780 | Richard Koh Dds Ms Inc. | Dentist | 11 Delano, Irvine, CA 92602-2462 | 2020-10-30 |
| 1225641293 | Richard T. Kao, Dds, Phd - Dental Corp. | Dentist | 1660 Willow St Ste 3, San Jose, CA 95125-5101 | 2020-08-28 |
| 1093325722 | Sergio Florencio Jr, Dds, Dmsc, Inc | Dentist | 1802 San Miguel Dr, Walnut Creek, CA 94596-8606 | 2020-08-06 |
| 1205463445 | Sharona Dayan, Dds, Inc | Dentist | 9735 Wilshire Blvd Ste 211, Beverly Hills, CA 90212-2102 | 2020-03-26 |
| 1215573522 | Vanessa Bikhazi | Dentist | 2372 Se Bristol St Ste A, Newport Beach, CA 92660-0755 | 2019-11-21 |
| 1063057008 | Robert Lacrampe | Dentist | 880 W 1st St Apt 526, Los Angeles, CA 90012-2473 | 2019-11-13 |
| 1376194639 | Snow Nakano & Lopez Professional Dental Corporation | Dentist | 868 Auto Center Dr Ste A, Palmdale, CA 93551-4691 | 2019-09-26 |
| 1659926285 | Suman Ramakumar Dds Inc | Dentist | 1171 Homestead Rd Ste 175, Santa Clara, CA 95050-5484 | 2019-08-09 |
| 1912567058 | Andrew Peterson Dmd Ms PC | Dentist | 9856 Hibiscus Ct, Alta Loma, CA 91737-3637 | 2019-06-20 |
| 1124686233 | Danoukh Dental Corp. | Dentist | 12271 La Mirada Blvd Ste 201, La Mirada, CA 90638-1336 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
| City | YORBA LINDA |
| Zip Code | 92886 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.