Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1164451548 Deactivated / Inactive NPI Male Practitioner

Dr. Mark David Dutz , DDS

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

Registration / Start Date June 30, 2006
NPI Deactivation Date June 28, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Dutz, DDS was a registered Dentist - General Practice practicing in Tremont, IL. Throughout an active medical career spanning 17 years, Dr. Dutz provided care at the practice location at 324 SOUTH JAMES STREET until profile deactivation on 2023-06-28.

Practice Location & Contact Primary Location

Practice Address

324 South James Street

Tremont, IL 615680186

Telephone 3099257851
Fax 3099252022
Associated Practice Facility / Clinic
🏢 Smalltown Dental Tremont Facility NPI 1770046088

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tremont, IL

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

Practicing in Tremont, 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 19015270

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.

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 June 28, 2023

Record deactivated on June 28, 2023

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 324 SOUTH JAMES STREET, TREMONT, IL 615680186 (Tel: 3099257851)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 186, P.O. BOX 186, TREMONT, IL 615680186 (Tel: 3099257851)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARK DUTZ, D.D.S.

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

Dentist (License #19015270 in IL)

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Initial NPI Registration & Enumeration June 30, 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: 1164451548
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2006
Last Update: July 08, 2007
Deactivation Date: June 28, 2023

Mailing Address

Po Box 186, P.o. Box 186

Tremont, IL 615680186

Phone: 3099257851

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.