Mark Paul Bortolussi, DDS

Dentist · Marshall, MI

Individual Active NPI

NPI number 1639285752

Practice location

213 East Michigan Ave
Marshall, MI 49068
Phone
(269) 781-1108
Fax
(269) 781-9164

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NPI record

NPI
1639285752
Entity type
Individual (Type 1)
Enumeration date
August 22, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2901016722 MI

About Dr. Bortolussi

Mark Paul Bortolussi, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 213 East Michigan Ave, Marshall, MI 49068. The NPI number 1639285752 was assigned on August 22, 2006 and the record was last updated on July 8, 2007.

Dr. Bortolussi lists a license in the registry: #2901016722 (MI) 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 Paul Bortolussi, DDS?

The NPI number is 1639285752.

What is the phone number of Dr. Bortolussi?

The phone number listed for the practice location is (269) 781-1108.

Where is Dr. Bortolussi located?

213 East Michigan Ave, Marshall, MI 49068.

What is the taxonomy code for Dr. Bortolussi?

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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