DR. MARK BURGESS, DMD

Dentist - General Practice

Active Individual
NPI: 1154492593

Practice Address

2103 E WASHINGTON ST STE 4B
Bloomington, IL 61701

Phone: (309) 663-6564

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes 19020667 (IL)

Frequently Asked Questions

NPI 1154492593 is the National Provider Identifier for DR. MARK BURGESS, DMD, a Dentist - General Practice provider located in Bloomington, IL. This NPI was enumerated on November 9, 2006.
DR. MARK BURGESS, DMD practices at 2103 E WASHINGTON ST STE 4B, Bloomington, IL 61701.

Quick Facts

NPI
1154492593
Type
Individual
Enumerated
Nov 9, 2006
Last Updated
Jul 8, 2007

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