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Deactivated NPI 1700936846 Deactivated / Inactive NPI Male Practitioner

Dr. Mark Alan Boarini , DDS

Dentist - General Practice • Antioch, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mark Boarini has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 11, 2007
NPI Deactivation Date July 02, 2026
Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Boarini, DDS was a registered Dentist - General Practice practicing in Antioch, IL. Throughout an active medical career spanning 19 years, Dr. Boarini provided care at the practice location at 800 MAIN ST until profile deactivation on 2026-07-02.

Practice Location & Contact Primary Location

Practice Address

800 Main St

Antioch, IL 600021542

Telephone 8473951461
Associated Practice Facility / Clinic
🏢 Heritage Dental Facility NPI 1356490700

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Antioch, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Antioch, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Daniel Boarini , DDS

Dentist - General Practice

NPI 1073669131

Doctor of Dental Surgery

Dr. Kenneth Jazdzewski , DDS

Dentist - General Practice

NPI 1215086509

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 02, 2026

Record deactivated on July 02, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 800 MAIN ST, ANTIOCH, IL 600021542 (Tel: 8473951461)

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Updated Business Mailing Address July 08, 2007

Registered at 800 MAIN ST, ANTIOCH, IL 600021542 (Tel: 8473951461)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARK BOARINI, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist

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Initial NPI Registration & Enumeration January 11, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700936846
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2007
Last Update: July 08, 2007
Deactivation Date: July 02, 2026

Mailing Address

800 Main St

Antioch, IL 600021542

Phone: 8473951461

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.