Individual
MARK PURDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2258 W ROOSEVELT BLVD, STE A, MONROE, NC 28110-3089
(704) 291-7100
(704) 291-7115
Mailing address
399 SCHAD CT SW, CONCORD, NC 28025-1203
(704) 787-2015
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6294
NC
Other
Enumeration date
04/19/2007
Last updated
06/17/2013
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