# MARK A PIGNO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1407941065
- **Gender:** Man
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | 18252 | TX | Yes |
| 1223P0700X | Prosthodontics | 4443 | LA | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 18252 | TX | — |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 09/13/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 130543507 | — | TX |
| 05 | — | 1892955 | — | LA |