Mark Allen Bruce

Dentist · Marion, IL

Individual Active NPI

NPI number 1942429311

Practice location

301 N Van Buren St
Marion, IL 62959-2335
Phone
(618) 993-3187
Fax
(618) 993-0397

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NPI record

NPI
1942429311
Entity type
Individual (Type 1)
Enumeration date
April 24, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 19-024396 IL

About Mark Bruce

Mark Allen Bruce is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 301 N Van Buren St, Marion, IL 62959-2335. The NPI number 1942429311 was assigned on April 24, 2007 and the record was last updated on July 8, 2007.

Mark Bruce lists a license in the registry: #19-024396 (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 Mark Allen Bruce?

The NPI number is 1942429311.

What is the phone number of Mark Bruce?

The phone number listed for the practice location is (618) 993-3187.

Where is Mark Bruce located?

301 N Van Buren St, Marion, IL 62959-2335.

What is the taxonomy code for Mark Bruce?

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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