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

Dr. Mark L Tannenbaum, DDS

Individual provider General Practice Dentistry · NPI 1083780167

Dr. Mark L Tannenbaum, DDS is a General Practice Dentistry in Burbank, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
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.

See every abbreviation used in this directory →

Practice location Address checks out

5307 W 79th St
Burbank, IL 60459-1403
Phone: (708) 424-5650
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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 19015293 (IL)

Record details

NPI number1083780167
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 28, 2006
Last updated in NPPESJuly 8, 2007
Mailing address5307 W 79th St, Burbank, IL 60459-1403

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