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Dr. Mark Burgess, DMD
General Practice Dentistry in Bloomington, Illinois
NPI 1154492593

Mark Burgess is a General Practice Dentistry based in Bloomington, IL and is specialized in General Practice. Mark Burgess practices in Bloomington, IL and has the professional credentials of DMD. The NPI Number for Mark Burgess is 1154492593 and holds a License No. 19020667 (Illinois).

The current practice location address for Mark Burgess is 2103 E Washington St Ste 4B, Bloomington, IL and can be reached out via phone at 309-663-6564. You can also correspond with Mark Burgess through the mailing address at 2103 E WASHINGTON ST STE 4B, BLOOMINGTON, IL - 61701-4362 (mailing address contact number: 309-663-6564).

Location: 2103 E Washington St Ste 4B, Bloomington, IL, 61701-4362
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154492593
Provider Name
Mark Burgess
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2103 E Washington St Ste 4B, Bloomington, IL, 61701-4362
Phone Number
309-663-6564
Fax Number
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2103 E Washington St Ste 4B
City
Bloomington
State
Illinois
Zip
61701-4362
Phone Number
309-663-6564
Fax Number
person
Provider Business Mailing Address Details
Address
2103 E Washington St Ste 4B
City
Bloomington
State
Illinois
Zip
61701-4362
Phone Number
309-663-6564
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
19020667 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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