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

Dr. Mark James Broomhead, DDS

Individual provider General Practice Dentistry · NPI 1831531706

Dr. Mark James Broomhead, DDS is a General Practice Dentistry in South Holland, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2013
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

615 E 162nd St
South Holland, IL 60473-2329
Phone: (773) 817-5500
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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 · Licence 019026740 (IL)

Record details

NPI number1831531706
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 22, 2013
Last updated in NPPESJuly 22, 2013
Mailing address615 E 162nd St, South Holland, IL 60473-2329

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