Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK JAMES BROOMHEAD, DDS
Active Sole ProprietorDR. MARK JAMES BROOMHEAD, DDS is a General Dentistry healthcare provider located in SOUTH HOLLAND, Illinois. NPI 1831531706 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · SOUTH HOLLAND, IL
Registration Details
- NPI Number
- 1831531706
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 22, 2013 (13.077984634561 yrs)
- Last Updated
- Jul 22, 2013
- License
-
019026740 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
615 E 162ND STSOUTH HOLLAND, IL, 604732329Browse IL providers · Browse ZIP 60473
- Phone
- 7738175500
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in SOUTH HOLLAND, IL
| Name | Credential | NPI |
|---|---|---|
| SHAFAQ RAAFAT MUSTAFA | DDS | 1255321170 |
| DIONNE NICOLE HENDERSON | DDS | 1053422758 |
| DR. ROSA GALVAN SILVA | DDS | 1851469811 |
| DR. RAJIV KHURANA | D.D.S. | 1386709079 |
| DR. MICHELLE ZOETEMAN | D.D.S. | 1740346972 |
| DR. JOHN R. LAZZAROTTO | D.D.S. | 1740339522 |
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.