DR. MARK ALAN ROSE D.M.D.
NPI 1164593018
Dentist - General Practice in Springfield, IL

Q: What is Mark Rose's NPI number?

The NPI number for Mark Rose is 1164593018. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Q: What is Mark Rose's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Rose was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 13, 2006

6301 WIND TREE RD, SPRINGFIELD, IL 62712(217) 585-0004 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Mark Alan Rose D.m.d. NPPES

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

DR. MARK ALAN ROSE D.M.D. (NPI 1164593018) is an individual general practice provider in Springfield, Illinois and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1164593018

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MARK ALAN ROSECredential: D.M.D.

Location Address6301 WIND TREE RDSpringfield, IL 62712-3738

Mailing Address2525 W Iles AveSpringfield, IL 62704-4283 · (217) 787-6600 · Fax (217) 787-8141

Phone(217) 585-0004

Sole ProprietorYes

Enumeration DateNovember 13, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1164593018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

6301 WIND TREE RD, Springfield, IL 62712

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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 Rose's NPI number?

The NPI number for Mark Rose is 1164593018. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Mark Rose located?

Mark Rose practices at 6301 Wind Tree Rd, Springfield, IL 62712. The listed phone number is (217) 585-0004.

What is Mark Rose'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 Rose was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.