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MARY K BOOTH DDS
NPI 1629205554
Dentist in Decatur, IL

Active since June 18, 2009
3250 N WOODFORD ST, DECATUR, IL 62526(217) 877-1742 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2023, Jul 19, 2023 (2 updates tracked since 2023).

About Mary K Booth Dds NPPES

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

MARY K BOOTH DDS (NPI 1629205554) is an individual dentist in Decatur, Illinois, licensed in Illinois (019027977) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1629205554
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMARY K BOOTHCredential: DDS
Location Address3250 N WOODFORD STDecatur, IL 62526-2836
Mailing Address3250 N Woodford StDecatur, IL 62526-2836 · (217) 877-1742 · Fax (217) 877-2222
Phone(217) 877-1742
Sole ProprietorNo
Enumeration DateJune 18, 2009
Last NPPES UpdateAugust 9, 20232 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
✔ NPI 1629205554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019027977
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3250 N WOODFORD ST, Decatur, IL 62526
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Other Providers at the Same Location NPPES 3

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

DR. RICKY DEAN SIMMS DMD
Dentist (General Practice)
3250 N WOODFORD ST
DECATUR, IL 62526
Macon County (217) 877-2628
AMANDA LEWIS ENTERPRISES LTD
Durable Medical Equipment & Medical Supplies (Customized Equipment)
3250 N WOODFORD ST
DECATUR, IL 62526
Macon County (217) 877-1742
BUSKIRK & HAARMAN
Dentist (General Practice)
3250 N WOODFORD ST
DECATUR, IL 62526
Macon County (217) 877-1742

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 Mary Booth's NPI number?

The NPI number for Mary Booth is 1629205554. It was assigned to this individual provider in the NPPES registry on June 18, 2009.

Where is Mary Booth located?

Mary Booth practices at 3250 N Woodford St, Decatur, IL 62526. The listed phone number is (217) 877-1742.

What is Mary Booth's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Mary Booth accept?

Health plans from Humana list Mary Booth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Booth was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.