Individual provider · Type 1 NPI

Roger Louis Paul, DMD

General Practice Dentistry · Peoria, IL

NPI number 1497829063 Active

Practice location

521 W Lake Ave
Peoria, IL 61614-6020

Call (309) 682-0770 Map

Fax (309) 682-7285

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X1916423 (IL)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1497829063

Roger Louis Paul, DMD's National Provider Identifier is 1497829063, issued on Nov 17, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Peoria, IL. The record was last updated on Jul 8, 2007.