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

Mary K Booth, DDS

Individual provider Dentist · NPI 1629205554

Mary K Booth, DDS is a Dentist in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
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

3250 N Woodford St
Decatur, IL 62526-2836
Phone: (217) 877-1742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019027977 (IL)

Record details

NPI number1629205554
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 18, 2009
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023
Mailing address3250 N Woodford St, Decatur, IL 62526-2836

Other providers in Decatur