IndividualActive
Mark Herdade, DDS
NPI 1487596482 · General Practice Dentistry · Tahlequah, OK
Mark Herdade, DDS is a General Practice Dentistry provider in Tahlequah, OK (NPI 1487596482).
Provider details
- NPI number
- 1487596482
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 8199 (OK)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
19600 E Ross St
Tahlequah, OK 74464-0545
Phone: (539) 234-1000
Street-level locationGet directions
Mailing address
1515 E 21st St
Tulsa, OK 74114-1339
Additional practice locations (1)
- 221 E Downing StTahlequah, OK 74464-3011Phone: (918) 708-1601
Registry dates
- Enumerated
- 2026-04-08
- Last updated
- 2026-05-26
- Certified
- 2026-05-26
Frequently asked questions
- What is Mark Herdade's NPI number?
- Mark Herdade's National Provider Identifier (NPI) is 1487596482, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Herdade's specialty?
- Mark Herdade is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Mark Herdade located?
- Mark Herdade's practice location on file with NPPES is 19600 E Ross St, Tahlequah, OK 74464-0545.
- What is Mark Herdade's phone number?
- The practice phone number listed in the NPPES registry for Mark Herdade is (539) 234-1000.
- Is Mark Herdade's NPI active?
- Yes — Mark Herdade's NPI (1487596482) is active in the NPPES registry as of the last update on 2026-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.