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DR. PAUL & DR. ANDERSON, DENTAL PC
NPI 1154728228
Dentist - General Practice in Peoria, IL

Active since December 04, 2014
521 W LAKE AVE, PEORIA, IL 61614(309) 682-0770 Get Directions Write a Review

NPPES record last updated: December 4, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Paul & Dr. Anderson, Dental Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAUL & DR. ANDERSON, DENTAL PC (NPI 1154728228) is a healthcare organization registered as a general practice in Peoria, Illinois and active in the NPI registry since December 2014. The organization lists Roger Paul, Dentist, as its authorized official.

NPPES Registry Identity

NPI1154728228
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDR. PAUL & DR. ANDERSON, DENTAL PC
Location Address521 W LAKE AVEPeoria, IL 61614-6020
Mailing Address521 W. Lake AvePeoria, IL 61614 · (309) 682-0770
Phone(309) 682-0770
Organization SubpartNo
Authorized OfficialRoger PaulDentist · (309) 682-0770
Enumeration DateDecember 4, 2014
✔ NPI 1154728228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 1916423
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.
521 W LAKE AVE, Peoria, IL 61614
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SCOTT WILLIAM ANDERSON DDS
Dentist (General Practice)
521 W LAKE AVE
PEORIA, IL 61614
Peoria County (309) 682-0770
DR. ROGER LOUIS PAUL DMD
Dentist (General Practice)
521 W LAKE AVE
PEORIA, IL 61614
Peoria County (309) 682-0770
SMALLTOWN DENTAL RIVER CITY PLLC
Dentist (General Practice)
521 W LAKE AVE
PEORIA, IL 61614
Peoria County (309) 682-0770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Paul & Dr. Anderson, Dental PC's NPI number?

The NPI number for Dr. Paul & Dr. Anderson, Dental PC is 1154728228. It was assigned to this organization in the NPPES registry on December 4, 2014.

Where is Dr. Paul & Dr. Anderson, Dental PC located?

Dr. Paul & Dr. Anderson, Dental PC is located at 521 W Lake Ave, Peoria, IL 61614. The listed phone number is (309) 682-0770.

What is Dr. Paul & Dr. Anderson, Dental PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Dr. Paul & Dr. Anderson, Dental PC was last updated on December 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.