DR. MARK L TANNENBAUM (NPI# 1083780167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083780167 |
| Entity Type | Individual |
| Full Name | DR. MARK L TANNENBAUM |
| Credential | D.D.S. |
| Practice Address |
5307 W 79th St Burbank IL 60459-1403 |
| Practice Telephone | 7084245650 |
| Mailing Telephone | 7084245650 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
19015293 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285613273 | Mark Howard Tannenbaum | Ophthalmology | 2785 Ocean Parkway, Brooklyn, NY 11235 | 2006-01-10 |
| 1033191861 | Mark A Tannenbaum | Internal Medicine | 5880 University Ave Ste. 102, West Des Moines, IA 50266-8220 | 2005-11-17 |
| Street Address |
5307 W 79TH ST |
| City | BURBANK |
| State | IL |
| Zip Code | 60459-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700447174 | Nader Chehel Amiran | Dentist | 5307 W 79th St, Burbank, IL 60459-1403 | 2019-06-25 |
| 1710358692 | True Dentistry | Dentist | 5307 W 79th St, Burbank, IL 60459-1403 | 2015-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619475852 | Albina Optometric | Optometrist | The Eye Care Center, Ltd, 8525 S Harlem Ave, Burbank, IL 60459 | 2018-01-23 |
| 1265943583 | Sara Christine De Van | Speech-Language Pathologist | 7600 South Mason Avenue, Burbank, IL 60459 | 2017-10-13 |
| 1710426465 | Nikki Negrete | Specialist/Technologist | 8520 S. Leclaire Ave., Burbank, IL 60459 | 2017-02-14 |
| 1700335734 | Sheefa Pharmacy Inc. | Pharmacy | 8519 S Harlem Avenue, Burbank, IL 60459 | 2016-10-03 |
| 1518325695 | Orthodontic Experts | Dentist | 7820 S. Cicero Ave, Burbank, IL 60459 | 2016-02-04 |
| 1528438306 | Lila Ayyad-alharsha | Behavioral Analyst | 6146 W. State Rd., Burbank, IL 60459 | 2015-10-06 |
| 1467852483 | Chicago Counseling & Training, Inc | Counselor | 4817 W. 83rd Street, Burbank Medical Center, Burbank, IL 60459 | 2014-08-27 |
| 1629344247 | Michael Joseph Fary | Optometrist | 7708 S Cicero Ave, Suite A5, Burbank, IL 60459 | 2012-03-28 |
| 1265732176 | Syeda Kulsoom Ali | Family Medicine | 4901 W 79th St Floor 2, Burbank, IL 60459 | 2010-10-26 |
| 1114119781 | Bonnes and Vasquez, P.C. | Social Worker | 13152 S. Cicero Ave, Pmb 260, Crestwood, IL 60459 | 2007-08-16 |
| Find all providers in zip 60459 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417567397 | Krikor Bardakjian Dds Inc | Dentist | 3808 W Riverside Blvd Suite 307, Burbank, CA 91505-4339 | 2020-08-05 |
| 1619494739 | Tadeh Avedian Sangebarani | Dentist | 290 E Verdugo Ave Ste 208, Burbank, CA 91502-1342 | 2017-08-29 |
| 1417408832 | Pamela Jung | Dentist | 5501 W. 79th St., Ste. 205, Burbank, IL 60459-1784 | 2016-10-20 |
| 1144614124 | Gharibian Dental, Inc. | Dentist | 500 E Olive Ave Ste 440, Burbank, CA 91501-2171 | 2015-03-26 |
| 1992195705 | Melina Esrailian | Dentist | 847 N Hollywood Way Ste 102, Burbank, CA 91505-2826 | 2015-02-01 |
| 1689078024 | Amanda Angulo | Dentist | 4405 W Riverside Dr Ste 300, Burbank, CA 91505-4050 | 2014-10-14 |
| 1871920629 | Dewayne Allan Wolfer Jr. | Dentist | 421 East Angeleno Avenue, Suite 205, Burbank, CA 91501 | 2013-10-10 |
| 1962840694 | Joseph Sundeen Dossen | Dentist | 500 E. Olive Avenue, Suite # 260, Burbank, CA 91501-2171 | 2013-06-04 |
| 1851661169 | Modern Smiles Dental Group | Dentist | 827 N Hollywood Way # 213, Burbank, CA 91505-2814 | 2012-01-03 |
| 1275845984 | Angela Annie Terzian | Dentist | 303 S Glenoaks Blvd Ste 12, Burbank, CA 91502-1184 | 2010-07-10 |
| Find all providers in BURBANK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.