Individual
DR. MARK A. FAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
730 ENTERPRISE DRIVE, RANTOUL, IL 61866-3689
(217) 359-9900
(217) 892-8869
Mailing address
730 ENTERPRISE DRIVE, RANTOUL, IL 61866-3689
(217) 359-9900
(217) 892-8868
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019019181
IL
Other
Enumeration date
06/02/2005
Last updated
02/27/2015
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