DR. Mark Burgess, DMD
NPI #1154492593 in Bloomington, Illinois
Provider Information
- NPI Number
- 1154492593
- Entity Type
- Individual
- Name
- DR. Mark Burgess, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Nov 9, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2103 E WASHINGTON ST STE 4B
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-4362
- Phone
- (309) 663-6564
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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