Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK G DOUGHERTY, DR
ActiveDR. MARK G DOUGHERTY, DR is a Dentist healthcare provider located in WEST READING, Pennsylvania. NPI 1649324021 is currently active in the NPPES registry. Verify at CMS.
Dentist · WEST READING, PA
Registration Details
- NPI Number
- 1649324021
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 22, 2007 (19.371954668066 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DS 25315 L (PA)
Practice Information
- Address
-
645 PENN AVEWEST READING, PA, 19611Browse PA providers · Browse ZIP 19611
- Phone
- 6103747657
- Fax
- 6103741656
- Primary Specialty
-
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.