Mark Doherty
Oral & Maxillofacial Surgeon
1353 Dorchester Ave
Dorchester
, Massachusetts 02122-2932
Mark Doherty
Oral & Maxillofacial Surgeon
1353 Dorchester Ave
Dorchester
, Massachusetts 02122-2932
(508) 946-4945
Write a Review Share Save Call
About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Mark Doherty
- 12 Colleen Dr
- Lakeville, MA
- Zip : 02347-1663
- Phone : (508) 946-4945
Second Address
- Mark Doherty
- 1353 Dorchester Ave
- Dorchester, MA
- Zip : 02122-2932
- Fax : (617) 825-4972
- Phone : (617) 288-3230
Reviews
FAQs
Where did Mark Doherty attend graduate school?
Where did Mark Doherty do his residency?
Where did Mark Doherty do his fellowship?
Is Mark Doherty board certified?
What type of doctor is Mark Doherty
In what state does Mark Doherty practice in?
Where is Mark Doherty ’s practice located?
What is Mark Doherty ’s gender?
Is Mark Doherty a sole practitioner?
Is Mark Doherty accepting new patients?
What languages does Mark Doherty speak?
Does Mark Doherty accept insurance?
Does Mark Doherty offers telemedicine?
What is Mark Doherty ’s professional license number?
What is Mark Doherty ’s NPI number?
Does Mark Doherty have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 12683 | MA |
National Provider Identifier
| NPI | 1285696674 |
|---|---|
| Provider Name | Mark Doherty |
| First Address | Lakeville, MA 02347-1663 |
| Second Address | Dorchester, MA 02122-2932 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/04/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T57866 | (02) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.