Mark D. Bollaert, D.D.S.

Dentist · Moline, IL

Individual Active NPI

NPI number 1033234851

Practice location

3001 41st St
Moline, IL 61265-7826
Phone
(309) 764-1173

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NPI record

NPI
1033234851
Entity type
Individual (Type 1)
Enumeration date
March 20, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 19A15530 IL

About Dr. Bollaert

Mark D. Bollaert, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 3001 41st St, Moline, IL 61265-7826. The NPI number 1033234851 was assigned on March 20, 2007 and the record was last updated on July 8, 2007.

Dr. Bollaert lists a license in the registry: #19A15530 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark D. Bollaert, D.D.S.?

The NPI number is 1033234851.

What is the phone number of Dr. Bollaert?

The phone number listed for the practice location is (309) 764-1173.

Where is Dr. Bollaert located?

3001 41st St, Moline, IL 61265-7826.

What is the taxonomy code for Dr. Bollaert?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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