Mark M. Petryna,D.D.S.,Pa in Matthews - Oral And Maxillofacial Surgery
Mark M. Petryna,D.D.S.,Pa - NPI 1528277217
Mark M. Petryna,D.D.S.,Pa is a Oral And Maxillofacial Surgery in Matthews, North Carolina. Mark M. Petryna,D.D.S.,Pa practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Mark M. Petryna,D.D.S.,Pa is 1528277217. The last update date is 2020-08-22.
Mark M. Petryna,D.D.S.,Pa's current location address is 1348 Matthews Township Pkwy, Matthews, North Carolina. You can contact this provider via phone number 7048477799 and fax number 7048497925. The mailing address for Mark M. Petryna,D.D.S.,Pa is 1348 Matthews Township Pkwy, Matthews, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mark M. Petryna,D.D.S.,Pa |
|---|---|
| Address | 1348 Matthews Township Pkwy, Matthews, North Carolina |
| Phone Number | 7048477799 |
| Fax Number | 7048497925 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ORAL SURGE |
|---|---|
| Authorized Official Name | Petryna Marian Mark |
| Credentials | D.D.S. |
| Telephone Number | 7048477799 |
NPI Number Detail
| NPI Number | 1528277217 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1348 Matthews Township Pkwy |
|---|---|
| City | Matthews |
| State | North Carolina (NC) |
| Post Code | 281054929 |
| Phone Number | 7048477799 |
| Fax Number | 7048497925 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 6075 |
|
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 |
|---|---|---|---|
| 9705A | NC | BCBS OF NC | |
| 476352 | NC | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique identifier code issued to Mark M. Petryna,D.D.S.,Pa by the Centers for Medicare & Medicaid Services?
The Mark M. Petryna,D.D.S.,Pa has been assigned the NPI (National Provider Identifier) 1528277217. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mark M. Petryna,D.D.S.,Pa is geographically located?
The Mark M. Petryna,D.D.S.,Pa is physically situated at the following location: 1348 Matthews Township Pkwy, Matthews, NC, 281054929.
What is Mark M. Petryna,D.D.S.,Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark M. Petryna,D.D.S.,Pa's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
On what date did the Mark M. Petryna,D.D.S.,Pa receive its 1528277217 assignment from the Centers for Medicare & Medicaid Services?
The Mark M. Petryna,D.D.S.,Pa was assigned its 1528277217 by the Centers for Medicare & Medicaid Services on 2007-05-21.
As of what date were the details related to Mark M. Petryna,D.D.S.,Pa most recently updated or revised?
The information pertaining to Mark M. Petryna,D.D.S.,Pa, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.