Individual provider · Type 1 NPI

Mark Alan Rose, DMD

General Practice Dentistry · Springfield, IL

NPI number 1164593018 Active

Practice location

6301 Wind Tree Rd
Springfield, IL 62712-3738

Call (217) 585-0004 Map

Mailing address

2525 W Iles Ave
Springfield, IL 62704-4283

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: 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.

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About NPI 1164593018

Mark Alan Rose, DMD's National Provider Identifier is 1164593018, issued on Nov 13, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Springfield, IL. The record was last updated on Jul 8, 2007.