IndividualActive
Michael Doherty, DDS
NPI 1386634418 · Oral and Maxillofacial Surgery (Dentist) · Medford, OR
Provider details
- NPI number
- 1386634418
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- D-3364 (ID)
Specialties & taxonomies
Dental Providers
Practice location
460 Murphy Road
Medford, OR 97504
Phone: (541) 776-0050
Fax: (541) 776-0062
Approximate (ZIP-level) locationGet directions
Mailing address
460 Murphy Road
Medford, OR 97504
Registry dates
- Enumerated
- 2005-10-28
- Last updated
- 2019-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.