Mark A Straka
Oral and Maxillofacial Surgeon
3545 Olentangy River Rd Suite 125
Columbus
, Ohio 43214-3996
Mark A Straka
Oral and Maxillofacial Surgeon
3545 Olentangy River Rd Suite 125
Columbus
, Ohio 43214-3996
(614) 267-1407
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Mark A Straka
- 3545 Olentangy River Rd Suite 125
- Columbus, OH
- Zip : 43214-3996
- Fax : (614) 267-1407
- Phone : (614) 267-0385
Second Address
- Mark A Straka
- 3545 Olentangy River Rd Suite 125
- Columbus, OH
- Zip : 43214-3996
- Fax : (614) 267-1407
- Phone : (614) 267-0385
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 30015835 | OH |
National Provider Identifier
| NPI | 1083680102 |
|---|---|
| Provider Name | Mark A Straka |
| First Address | Columbus, OH 43214-3996 |
| Second Address | Columbus, OH 43214-3996 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/02/2006 |
| Last Update Date | 20/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0391179 | (05) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.