Mark Burgess is a General Practice in Bloomington, Illinois. Mark Burgess practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark Burgess is 1154492593. The last update date is 2007-07-08.
Mark Burgess's current location address is 2103 E Washington St Ste 4b, Bloomington, Illinois. You can contact this provider via phone number 3096636564. The mailing address for Mark Burgess is 2103 E Washington St Ste 4b, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark Burgess |
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Address | 2103 E Washington St Ste 4b, Bloomington, Illinois |
Phone Number | 3096636564 |
Fax Number | |
Sole Proprietor | Y |
Credentials | DMD |
NPI Number Detail
NPI Number | 1154492593 |
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Provider Enumeration Date | 2006-11-09 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2103 E Washington St Ste 4b |
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City | Bloomington |
State | Illinois (IL) |
Post Code | 617014362 |
Phone Number | 3096636564 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 19020667 |
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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What is the Mark Burgess's unique identification number?
The Mark Burgess has been assigned the NPI (National Provider Identifier) Number 1154492593 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Mark Burgess?
The Mark Burgess is situated at 2103 E Washington St Ste 4B, in the city of Bloomington, state of IL, with the zip code 617014362.
What is Mark Burgess's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark Burgess is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
When did Mark Burgess receive its 1154492593 assignment?
The Mark Burgess was assigned its 1154492593 on 2006-11-09, which is the date when this unique identifier was issued to the organization.
When was the information regarding Mark Burgess most recently updated?
The details pertaining to the Mark Burgess, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.