Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154492593 Individual Practitioner Male Practitioner

Dr. Mark Burgess , DMD

Dentist - General Practice • Bloomington, IL

Professional Overview & Biography Verified Profile Summary

Dr. Mark Burgess, DMD is a registered healthcare professional specializing in Dentist - General Practice in Bloomington, IL. Practice services are available at 2103 E WASHINGTON ST STE 4B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2103 E Washington St Ste 4b

Bloomington, IL 617014362

Telephone 3096636564
Associated Practice Facility / Clinic
🏢 Salus Counseling Llc Facility NPI 1639677156

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bloomington, IL

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

Practicing in Bloomington, 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

State License IL 19020667

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

6 Associated Practitioners

Doctor of Dental Medicine

Grace Christianson

Dental Hygienist

NPI 1689500357
Diana Lopez

Dentist - Prosthodontics

NPI 1821739749
Kimberly Matthews

Dental Hygienist

NPI 1861328478
NPI 1891041331

Doctor of Dental Medicine

Julia Cash , RDH

Dental Hygienist

NPI 1902722317

Registered Dental Hygienist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2103 E WASHINGTON ST STE 4B, BLOOMINGTON, IL 617014362 (Tel: 3096636564)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2103 E WASHINGTON ST STE 4B, BLOOMINGTON, IL 617014362 (Tel: 3096636564)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK BURGESS, DMD

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

Dentist (License #19020667 in IL)

🟢
Initial NPI Registration & Enumeration November 09, 2006

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: 1154492593
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

2103 E Washington St Ste 4b

Bloomington, IL 617014362

Phone: 3096636564

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.