# MARK M. PETRYNA,D.D.S.,PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528277217
- **Authorized official:** DR. MARK MARIAN PETRYNA D.D.S. (ORAL SURGEON)
- **Authorized official phone:** (704) 847-7799

## Contact information

- **Practice address:** 1348 MATTHEWS TOWNSHIP PKWY, SUITE 101, MATTHEWS, NC 28105-4929
- **Practice address phone:** (704) 847-7799
- **Practice address fax:** (704) 849-7925
- **Mailing address:** 1348 MATTHEWS TOWNSHIP PKWY, SUITE 101, MATTHEWS, NC 28105-4929
- **Mailing address phone:** (704) 847-7799
- **Mailing address fax:** (704) 849-7925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 6075 | NC | Yes |

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 08/22/2020