Jack Charles Morkin

Dentist · Bloomington, IL

Individual Active NPI

NPI number 1639857162

Practice location

119 N Williamsburg Dr
Bloomington, IL 61704-3528
Phone
(309) 663-1326

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NPI record

NPI
1639857162
Entity type
Individual (Type 1)
Enumeration date
July 5, 2023
Last updated
March 3, 2025
Certified
March 3, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019.034446 IL

Mailing address

2706 Shepard Rd
Normal, IL 61761-6434
Phone
(309) 824-6952

About Jack Morkin

Jack Charles Morkin is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 119 N Williamsburg Dr, Bloomington, IL 61704-3528. The NPI number 1639857162 was assigned on July 5, 2023 and the record was last updated on March 3, 2025.

Jack Morkin lists a license in the registry: #019.034446 (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 Jack Charles Morkin?

The NPI number is 1639857162.

What is the phone number of Jack Morkin?

The phone number listed for the practice location is (309) 663-1326.

Where is Jack Morkin located?

119 N Williamsburg Dr, Bloomington, IL 61704-3528.

What is the taxonomy code for Jack Morkin?

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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