DR. ROGER LOUIS PAUL DMD
NPI 1497829063
Dentist - General Practice in Peoria, IL

Active since November 17, 2006
521 W LAKE AVE, PEORIA, IL 61614(309) 682-0770(309) 682-7285 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Dentist
  • General Practice

About ROGER PAUL

This page provides the complete NPI Profile along with additional information for Roger Paul, a provider established in Peoria, Illinois with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1497829063 assigned on November 2006. The practitioner's primary taxonomy code is 1223G0001X with license number 1916423 (IL). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1497829063 Verify this NPI
Provider Name
DR. ROGER LOUIS PAUL DMD
Gender
Male
Entity Type
Individual
Location Address
521 W LAKE AVE PEORIA, IL 61614
Location Phone
(309) 682-0770
Location Fax
(309) 682-7285
Mailing Address
521 W LAKE AVE PEORIA, IL 61614
Mailing Phone
(309) 682-0770
Mailing Fax
(309) 682-7285
Is Sole Proprietor?
Yes
Enumeration Date
11-17-2006
Last Update Date
07-08-2007
Code Navigator

A dentist like Roger Paul is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
1916423
License State
IL
Taxonomy Description
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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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (General Practice)
521 W LAKE AVE
PEORIA, IL 61614
Dentist (General Practice)
521 W LAKE AVE
PEORIA, IL 61614

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497829063, enumerated as an "individual" on November 17, 2006.

The provider is located at 521 W LAKE AVE PEORIA, IL 61614 and the phone number is (309) 682-0770.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.