What is Mark Tannenbaum's NPI number?

Mark Tannenbaum's National Provider Identifier (NPI) is 1083780167, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mark Tannenbaum's specialty?

Mark Tannenbaum is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Mark Tannenbaum located?

Mark Tannenbaum's practice location on file with NPPES is 5307 W 79th St, Burbank, IL 60459-1403.

What is Mark Tannenbaum's phone number?

The practice phone number listed in the NPPES registry for Mark Tannenbaum is (708) 424-5650.

Is Mark Tannenbaum's NPI active?

Yes — Mark Tannenbaum's NPI (1083780167) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Mark Tannenbaum, D.D.S.

NPI 1083780167 · General Practice Dentistry · Burbank, IL

Mark Tannenbaum, D.D.S. is a General Practice Dentistry provider in Burbank, IL (NPI 1083780167).

Provider details

NPI number: 1083780167
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: D.D.S.
Sex: Male
Sole proprietor: No
License: 19015293 (IL)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 19015293 (IL)
Dental Providers

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

5307 W 79th St

Burbank, IL 60459-1403

Phone: (708) 424-5650

Street-level locationGet directions

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Mailing address