Provider Demographics
NPI:1700888062
Name:SCURRIA, MARK S (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:S
Last Name:SCURRIA
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:1920 E CHAPEL HILL NELSON HWY
Mailing Address - Street 2:STE 410
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-2262
Mailing Address - Country:US
Mailing Address - Phone:919-544-8106
Mailing Address - Fax:919-544-8536
Practice Address - Street 1:1920 E CHAPEL HILL NELSON HWY
Practice Address - Street 2:STE 410
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-2262
Practice Address - Country:US
Practice Address - Phone:919-544-8106
Practice Address - Fax:919-544-8536
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC58451223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics