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Dr. Roger Louis Paul, DMD
General Practice Dentistry in Peoria, Illinois
NPI 1497829063

Roger Louis Paul is a General Practice Dentistry based in Peoria, IL and is specialized in General Practice. Roger Louis Paul practices in Peoria, IL and has the professional credentials of DMD. The NPI Number for Roger Louis Paul is 1497829063 and holds a License No. 1916423 (Illinois).

The current practice location address for Roger Louis Paul is 521 W Lake Ave, Peoria, IL and can be reached out via phone at 309-682-0770 and via fax at 309-682-7285.

Location: 521 W Lake Ave, Peoria, IL, 61614-6020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497829063
Provider Name
Roger Louis Paul
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
521 W Lake Ave, Peoria, IL, 61614-6020
Phone Number
309-682-0770
Fax Number
309-682-7285
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
521 W Lake Ave
City
Peoria
State
Illinois
Zip
61614-6020
Phone Number
309-682-0770
Fax Number
309-682-7285
person
Provider Business Mailing Address Details
Address
521 W Lake Ave
City
Peoria
State
Illinois
Zip
61614-6020
Phone Number
309-682-0770
Fax Number
309-682-7285
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
1916423 (Illinois)
Definition
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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