Mark Alan Rose, D.M.D.

General Practice Dentistry · Springfield, IL

Individual Active NPI

NPI number 1164593018

Practice location

6301 Wind Tree Rd
Springfield, IL 62712-3738
Phone
(217) 585-0004

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NPI record

NPI
1164593018
Entity type
Individual (Type 1)
Enumeration date
November 13, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — IL

Mailing address

2525 W Iles Ave
Springfield, IL 62704-4283
Phone
(217) 787-6600
Fax
(217) 787-8141

About Dr. Rose

Mark Alan Rose, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 6301 Wind Tree Rd, Springfield, IL 62712-3738. The NPI number 1164593018 was assigned on November 13, 2006 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Mark Alan Rose, D.M.D.?

The NPI number is 1164593018.

What is the phone number of Dr. Rose?

The phone number listed for the practice location is (217) 585-0004.

Where is Dr. Rose located?

6301 Wind Tree Rd, Springfield, IL 62712-3738.

What is the taxonomy code for Dr. Rose?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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