Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK CHARLES MORKIN
Active Sole ProprietorJACK CHARLES MORKIN is a Dentist healthcare provider located in BLOOMINGTON, Illinois. NPI 1639857162 is currently active in the NPPES registry. Verify at CMS.
Dentist · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1639857162
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 5, 2023 (3.1267637370944 yrs)
- Last Updated
- Mar 3, 2025
- License
-
019.034446 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
119 N WILLIAMSBURG DRBLOOMINGTON, IL, 617043528Browse IL providers · Browse ZIP 61704
- Phone
- 3096631326
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in BLOOMINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| MR. EMIL M VERBAN JR. | DDS | 1245334978 |
| DR. ROBERT DAVID HORENKAMP | DDS | 1639275308 |
| DR. JOHN EDWARD ZIMDARS | D.D.S. | 1902999295 |
| DR. ROBERT OWEN WOLF | DDS | 1962576967 |
| DR. TERRY LYNN SWANLUND | DDS | 1477614360 |
| LAKSHMI RAMESH | DDS | 1346303328 |
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.