Mark R Commean DMD LTD

Dentist · Montgomery, IL

Organization Active NPI

NPI number 1417046905

Practice location

20 Boulder Hill Pass
Montgomery, IL 60538-1951
Phone
(630) 896-5013
Fax
(630) 896-5108

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NPI record

NPI
1417046905
Entity type
Organization (Type 2)
Enumeration date
October 12, 2006
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X — IL
Dentist 122300000X 01914998 IL
Dentist 122300000X — IL

Authorized official

Name
Dr. Mark R Commean, DMD
Title
Dentist Owner
Phone
(630) 896-5013

Other names

  • Boulder Hill Dental Associates

About Mark R Commean DMD LTD

Mark R Commean DMD LTD is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 20 Boulder Hill Pass, Montgomery, IL 60538-1951. The NPI number 1417046905 was assigned on October 12, 2006 and the record was last updated on August 22, 2020.

Mark R Commean DMD LTD lists a license in the registry: #01914998 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Mark R Commean, DMD, Dentist Owner.

Frequently asked questions

What is the NPI number of Mark R Commean DMD LTD?

The NPI number is 1417046905.

What is the phone number of Mark R Commean DMD LTD?

The phone number listed for the practice location is (630) 896-5013.

Where is Mark R Commean DMD LTD located?

20 Boulder Hill Pass, Montgomery, IL 60538-1951.

What is the taxonomy code for Mark R Commean DMD LTD?

The primary taxonomy code is 122300000X – Dentist; 2 more listed above.

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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