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Search › Illinois › General Practice Dentistry

Mark Broomhead, DDS

NPI 1831531706 · on the registry since 2013 · sole proprietor

Practice

Address
615 E 162nd St
South Holland, IL 60473
Phone
(773) 817-5500
Organisation at this address
5 Star Family Dental
John F Sullivan Dds & Patrick M Gorman Dds Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-07-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois