Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023109972 Individual Practitioner Male Practitioner

Dr. Mark A Bouchillon , DDS

Dentist • Warren, MI

Professional Overview & Biography Verified Profile Summary

Dr. Mark Bouchillon, DDS is a registered healthcare professional specializing in Dentist in Warren, MI. Practice services are available at 13403 13 MILE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13403 13 Mile Rd

Warren, MI 48088

Telephone 5869792800
Fax 5869792720

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Warren, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 59.0 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
80 Specialists

Practicing in Warren, MI (3647 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MI 2901013126

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

14 Associated Practitioners
NPI 1033201850

Doctor of Dental Surgery

Hussain Arbab , BDS

Dentist - Periodontics

NPI 1114221322
NPI 1245323450

Doctor of Dental Surgery

Dr. Laura Zetu , DDS

Dentist - Periodontics

NPI 1285726018

Doctor of Dental Surgery

Dr. David Bartolovic , DDS

Dentist - Prosthodontics

NPI 1366534117

Doctor of Dental Surgery

NPI 1508934746

Doctor of Dental Surgery

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 13403 13 MILE RD, WARREN, MI 48088 (Tel: 5869792800)

📍
Updated Business Mailing Address July 08, 2007

Registered at 13403 13 MILE RD, WARREN, MI 48088 (Tel: 5869792800)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK BOUCHILLON, DDS

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

Dentist (License #2901013126 in MI)

🟢
Initial NPI Registration & Enumeration September 27, 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: 1023109972
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

13403 13 Mile Rd

Warren, MI 48088

Phone: 5869792800

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.