Individual
DR. MARK EDWARD BUFALINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MD
Contact information
Practice address
1305 PHYSICIANS DR, WILMINGTON, NC 28401-7352
(910) 762-2618
(910) 763-5173
Mailing address
1305 PHYSICIANS DR, WILMINGTON, NC 28401-7352
(910) 762-2618
(910) 763-5173
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2007-00364
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS035576
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
2007-00364
NC
208600000X
Surgery Physician
2007-00364
NC
Other
Enumeration date
08/30/2006
Last updated
05/09/2023
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