Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK BURGESS, DMD
Active Sole ProprietorDR. MARK BURGESS, DMD is a General Dentistry healthcare provider located in BLOOMINGTON, Illinois. NPI 1154492593 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1154492593
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 9, 2006 (19.575488836372 yrs)
- Last Updated
- Jul 8, 2007
- License
-
19020667 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2103 E WASHINGTON ST STE 4BBLOOMINGTON, IL, 617014362Browse IL providers · Browse ZIP 61701
- Phone
- 3096636564
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in BLOOMINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. REX DALE MOORE | DDS | 1669468344 |
| DR. KEVIN KELSO SCHULTZ | DDS | 1427099167 |
| ERIC ABREU | D.D.S | 1750304655 |
| DR. NEZAR AHMED KASSEM | D.D.S. | 1700975653 |
| DAVID SCOTT HUME | D.D.S. | 1598835530 |
| DANIEL WARREN STEADMAN | D.D.S. | 1972674455 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.