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Organization

MARK A. TRIPP & ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK ANDREW TRIPP DDS (OWNER)
(704) 845-5538
Entity
Organization

Contact information

Practice address
1230 MANN DR, SUITE 100, MATTHEWS, NC 28105-5535
(704) 845-5538
(704) 847-6508
Mailing address
1230 MANN DR, SUITE 100, MATTHEWS, NC 28105-5535
(704) 845-5538
(704) 847-6508

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7034
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7034
CIGNA
NC
01
8256
CIGNA
NC
01
8356
CIGNA
NC
01
8861
CIGNA
NC
Enumeration date
03/17/2010
Last updated
01/23/2012
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