Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1942204201 Deactivated / Inactive NPI Male Practitioner

Dr. Mark A. Faught , DDS

Dentist - General Practice • Rantoul, 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 Faught has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 02, 2005
NPI Deactivation Date March 21, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Faught, DDS was a registered Dentist - General Practice practicing in Rantoul, IL. Throughout an active medical career spanning 1 years, Dr. Faught provided care at the practice location at 730 ENTERPRISE DRIVE until profile deactivation on 2006-03-21.

Practice Location & Contact Primary Location

Practice Address

730 Enterprise Drive

Rantoul, IL 618663689

Telephone 2173599900
Fax 2178928869

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Rantoul, IL

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

Practicing in Rantoul, 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 019019181

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

1 Associated Practitioners
Dr. Norman Schutt , DDS, MS

Dentist - General Practice

NPI 1770795296

Doctor of Dental Surgery, Master of Science

Career & Practice History Timeline

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

7 Historical Events
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Updated Practice Location February 27, 2015

Registered at 730 ENTERPRISE DRIVE, RANTOUL, IL 618663689 (Tel: 2173599900)

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Updated Business Mailing Address February 27, 2015

Registered at 730 ENTERPRISE DRIVE, RANTOUL, IL 618663689 (Tel: 2173599900)

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Provider Name / Credentials Updated February 27, 2015

Recorded as MARK FAUGHT, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2015

Dentist (License #019019181 in IL)

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NPI Profile Reactivated April 10, 2006

Record officially reactivated for active practice on April 10, 2006

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NPI Profile Deactivated March 21, 2006

Record deactivated on March 21, 2006

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Initial NPI Registration & Enumeration June 02, 2005

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: 1942204201
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2005
Last Update: February 27, 2015
Deactivation Date: March 21, 2006
Sole Proprietor: No

Mailing Address

730 Enterprise Drive

Rantoul, IL 618663689

Phone: 2173599900

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.