Mark M Petryna in Matthews - Oral And Maxillofacial Surgery
Mark M Petryna - NPI 1629103494
Mark M Petryna is a Oral And Maxillofacial Surgery in Matthews, North Carolina. Mark M Petryna practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Mark M Petryna is 1629103494. The last update date is 2007-07-08.
Mark M Petryna's current location address is 1348 Matthews Township Parkway, Matthews, North Carolina. You can contact this provider via phone number 7048477799 and fax number 7048497925. The mailing address for Mark M Petryna is 1348 Matthews Township Parkway, Matthews, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark M Petryna |
|---|---|
| Address | 1348 Matthews Township Parkway, Matthews, North Carolina |
| Phone Number | 7048477799 |
| Fax Number | 7048497925 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1629103494 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1348 Matthews Township Parkway |
|---|---|
| City | Matthews |
| State | North Carolina (NC) |
| Post Code | 28105 |
| Phone Number | 7048477799 |
| Fax Number | 7048497925 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | NC6075 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 476352 | NC | UNITED CONCORDIA | |
| 9705A | NC | BCBS OF NC |
Post Comment/ Review Below
What is the unique identification code assigned to Mark M Petryna by the Centers for Medicare & Medicaid Services?
The Mark M Petryna has been issued the NPI (National Provider Identifier) 1629103494. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mark M Petryna's facilities are geographically located?
The facilities of Mark M Petryna are physically situated at the following location: 1348 Matthews Township Parkway, Matthews, NC, 28105.
What is the area of specialization for Mark M Petryna, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark M Petryna is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services assign the 1629103494 to Mark M Petryna?
The Centers for Medicare & Medicaid Services assigned the 1629103494 to Mark M Petryna on 2007-02-22.
When was the information regarding Mark M Petryna most recently updated?
The details pertaining to the Mark M Petryna, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.