Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark A. Dougherty, DDS, Inc

Organization Periodontics · NPI 1164540696

Mark A. Dougherty, DDS, Inc is a Periodontics in Yorba Linda, California. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17300 Yorba Linda Blvd Ste H
Yorba Linda, CA 92886-3810
Phone: (714) 993-1194
Fax: (714) 524-0397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1164540696
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Dougherty — President · (714) 993-1194
NPI enumeratedMarch 26, 2007
Last updated in NPPESAugust 22, 2020
Mailing address17300 Yorba Linda Blvd Ste H, Yorba Linda, CA 92886-3810

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