Organization
MARK A. TRIPP DDS., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A TRIPP DDS (OWNER)
(704) 347-2557
Entity
Organization
Contact information
Practice address
300 BILLINGSLEY RD STE 202, CHARLOTTE, NC 28211-1084
(704) 347-2557
(704) 334-2576
Mailing address
300 BILLINGSLEY RD STE 202, CHARLOTTE, NC 28211-1084
(704) 347-2557
(704) 334-2576
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7034
NC
1223G0001X
General Practice Dentistry
8356
ND
1223G0001X
General Practice Dentistry
8861
NC
Other
Enumeration date
07/18/2006
Last updated
01/12/2012
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