| Doctor Name: | MARK T. BURYE |
| NPI Number: | 1033147723 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.D.S. |
| License Number: | 2901013293 |
| Business Practice Address: | 1150 E Sherman Blvd Suite 1600 Muskegon, MI - 494441871 |
| Business Phone Number: | 2317331571 |
| Business Fax Number: | 2317335228 |
| Mailing Address: | 1150 E Sherman Blvd, Suite 1600 MUSKEGON |
| State: | MI |
| Postal Code: | 494441871 |
| Phone Number: | 2317331571 |
| Fax Number: | 2317335228 |
| NPI Enumeration Date: | 06/29/2006 |
| NPI Last Update Date: | 01/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204E00000X |
| License Number: | 2901013293 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Oral & Maxillofacial Surgery |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |