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

Q: What is Roger Paul's NPI number?

The NPI number for Roger Paul is 1497829063. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Q: What is Roger Paul's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Roger Paul was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

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: August 09, 2026.

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About Dr. Roger Louis Paul Dmd NPPES

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

DR. ROGER LOUIS PAUL DMD (NPI 1497829063) is an individual general practice provider in Peoria, Illinois, licensed in Illinois (1916423) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1497829063

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ROGER LOUIS PAULCredential: DMD

Location Address521 W LAKE AVEPeoria, IL 61614-6020

Mailing Address521 W Lake AvePeoria, IL 61614-6020 · (309) 682-0770 · Fax (309) 682-7285

Phone(309) 682-0770

Fax(309) 682-7285

Sole ProprietorYes

Enumeration DateNovember 17, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1497829063 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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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. PAUL & DR. ANDERSON, DENTAL PC

Dentist (General Practice)

521 W LAKE AVE
PEORIA, IL 61614

Peoria County (309) 682-0770

DR. SCOTT WILLIAM ANDERSON DDS

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 Roger Paul's NPI number?

The NPI number for Roger Paul is 1497829063. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Roger Paul located?

Roger Paul practices at 521 W Lake Ave, Peoria, IL 61614. The listed phone number is (309) 682-0770.

What is Roger Paul'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 Roger Paul was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.