Mark G. Dougherty, DR
Dentist · West Reading, PA
Practice location
645 Penn AveWest Reading, PA 19611
- Phone
- (610) 374-7657
- Fax
- (610) 374-1656
NPI record
- NPI
- 1649324021
- Entity type
- Individual (Type 1)
- Enumeration date
- January 22, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
DS 25315 L | PA |
About Mark Dougherty
Mark G. Dougherty, DR is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 645 Penn Ave, West Reading, PA 19611. The NPI number 1649324021 was assigned on January 22, 2007 and the record was last updated on July 8, 2007.
Mark Dougherty lists a license in the registry: #DS 25315 L (PA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Mark G. Dougherty, DR?
The NPI number is 1649324021.
What is the phone number of Mark Dougherty?
The phone number listed for the practice location is (610) 374-7657.
Where is Mark Dougherty located?
645 Penn Ave, West Reading, PA 19611.
What is the taxonomy code for Mark Dougherty?
The primary taxonomy code is 122300000X – Dentist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.