Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Keyan Tadrissi, DDS

Individual provider Endodontics · NPI 1619907508

Dr. Mark Keyan Tadrissi, DDS is an Endodontics in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

14135 Balntyn Corp Pl Ste 215
Charlotte, NC 28277-4452
Phone: (704) 541-7017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 9377 (NC)

Record details

NPI number1619907508
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 4, 2006
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026

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