Mark James Prosniewski, DDS

General Practice Dentistry · Bartlett, IL

Individual Active NPI

NPI number 1760572861

Practice location

116 W Bartlett Ave
Bartlett, IL 60103-4282
Phone
(630) 837-2779
Fax
(630) 837-2708

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NPI record

NPI
1760572861
Entity type
Individual (Type 1)
Enumeration date
October 13, 2006
Last updated
March 12, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019018332 IL

About Dr. Prosniewski

Mark James Prosniewski, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 116 W Bartlett Ave, Bartlett, IL 60103-4282. The NPI number 1760572861 was assigned on October 13, 2006 and the record was last updated on March 12, 2013.

Dr. Prosniewski lists a license in the registry: #019018332 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark James Prosniewski, DDS?

The NPI number is 1760572861.

What is the phone number of Dr. Prosniewski?

The phone number listed for the practice location is (630) 837-2779.

Where is Dr. Prosniewski located?

116 W Bartlett Ave, Bartlett, IL 60103-4282.

What is the taxonomy code for Dr. Prosniewski?

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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