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

Dr. Mark James Black, DDS

Individual provider Dentist · NPI 1306286034

Dr. Mark James Black, DDS is a Dentist in Champaign, Illinois. Licensed in Illinois. Registered with an NPI since 2013.

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

1717 Broadmoor Dr
Champaign, IL 61821-5933
Phone: (217) 359-1541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019-023555 (IL)

Record details

NPI number1306286034
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 26, 2013
Last updated in NPPESJune 26, 2013

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