Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark Alan Rose, DMD

Individual provider General Practice Dentistry · NPI 1164593018

Dr. Mark Alan Rose, DMD is a General Practice Dentistry in Springfield, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

6301 Wind Tree Rd
Springfield, IL 62712-3738
Phone: (217) 585-0004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X (IL)

Record details

NPI number1164593018
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedNovember 13, 2006
Last updated in NPPESJuly 8, 2007
Mailing address2525 W Iles Ave, Springfield, IL 62704-4283

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