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DR. MARK BURGESS DMD
NPI 1154492593
Dentist - General Practice in Bloomington, IL

Active since November 09, 2006
2103 E WASHINGTON ST STE 4B, BLOOMINGTON, IL 61701(309) 663-6564 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Mark Burgess Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK BURGESS DMD (NPI 1154492593) is an individual general practice provider in Bloomington, Illinois, licensed in Illinois (19020667) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1154492593
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK BURGESSCredential: DMD
Location Address2103 E WASHINGTON ST STE 4BBloomington, IL 61701-4362
Mailing Address2103 E Washington St Ste 4bBloomington, IL 61701-4362 · (309) 663-6564
Phone(309) 663-6564
Sole ProprietorYes
Enumeration DateNovember 9, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1154492593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 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.

2103 E WASHINGTON ST STE 4B, Bloomington, IL 61701
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKSHMI RAMESH DDS
Dentist
2103 E WASHINGTON ST STE 4B
BLOOMINGTON, IL 61701
McLean County (309) 664-7645
SALUS COUNSELING LLC
Counselor (Mental Health)
2103 E WASHINGTON ST STE 4B
BLOOMINGTON, IL 61701
McLean County (217) 871-3001
DANIELLE JAMESON
Counselor (Mental Health)
2103 E WASHINGTON ST STE 4B
BLOOMINGTON, IL 61701
McLean County (309) 822-2261
ASHLEY MORRIS MA
Counselor (Mental Health)
2103 E WASHINGTON ST STE 4B
BLOOMINGTON, IL 61701
McLean County (217) 871-3001
CELIA KILLEEN VINEYARD
Counselor
2103 E WASHINGTON ST STE 4B
BLOOMINGTON, IL 61701
McLean County (309) 822-2261
AUTUMN CHALL
Counselor (Mental Health)
2103 E WASHINGTON ST STE 4B
BLOOMINGTON, IL 61701
McLean County (309) 822-2261
KATHERINE THERESE DUNDAS
Counselor (Professional)
2103 E WASHINGTON ST STE 4B
BLOOMINGTON, IL 61701
McLean County (309) 822-2261

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Burgess's NPI number?

The NPI number for Mark Burgess is 1154492593. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Mark Burgess located?

Mark Burgess practices at 2103 E Washington St Ste 4B, Bloomington, IL 61701. The listed phone number is (309) 663-6564.

What is Mark Burgess's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mark Burgess was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.