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Mark M Petryna, DDS
Oral and Maxillofacial Surgery (Dentist) in Matthews, North Carolina
NPI 1629103494

Mark M Petryna is a Oral and Maxillofacial Surgery (Dentist) based in Matthews, NC and is specialized in Oral and Maxillofacial Surgery. Mark M Petryna practices in Matthews, NC and has the professional credentials of DDS. The NPI Number for Mark M Petryna is 1629103494 and holds a License No. NC6075 (North Carolina).

The current practice location address for Mark M Petryna is 1348 Matthews Township Pkwy, Matthews, NC and can be reached out via phone at 704-847-7799 and via fax at 704-849-7925.

Location: 1348 Matthews Township Pkwy, Matthews, NC, 28105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629103494
Provider Name
Mark M Petryna
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1348 Matthews Township Pkwy, Matthews, NC, 28105
Phone Number
704-847-7799
Fax Number
704-849-7925
Provider Enumeration Date
02/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
476352 01 NC UNITED CONCORDIA
9705A 01 NC BCBS OF NC
institution
Provider Business Practice Location Address Details
Address
1348 Matthews Township Pkwy
City
Matthews
State
North Carolina
Zip
28105
Phone Number
704-847-7799
Fax Number
704-849-7925
person
Provider Business Mailing Address Details
Address
1348 Matthews Township Pkwy
City
Matthews
State
North Carolina
Zip
28105
Phone Number
704-847-7799
Fax Number
704-849-7925
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
NC6075 (North Carolina)
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.
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