Individual provider · Type 1 NPI

Mark A. Straka, DDS

Oral and Maxillofacial Surgery (Dentist) · Columbus, OH

NPI number 1083680102 Active

Practice location

3545 Olentangy River Rd, Suite 125
Columbus, OH 43214-3996

Fax (614) 267-1407

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X30015835 (OH)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1083680102

Mark A. Straka, DDS's National Provider Identifier is 1083680102, issued on Feb 28, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Columbus, OH. The record was last updated on Jul 20, 2007.