Dr Paul & Dr Anderson, Dental PC
Dr Paul & Dr Anderson, Dental PC provides General Practice Dentistry in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2014.
- Licensed in
- IL
- In the registry since
- 2014
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
521 W Lake AvePeoria, IL 61614-6020 Not confirmed with CMS for 11 years — call before visiting
Phone: (309) 682-0770
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 1916423 (IL) |
|---|
Record details
| NPI number | 1154728228 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Roger Paul — Dentist · (309) 682-0770 |
| NPI enumerated | December 4, 2014 |
| Last updated in NPPES | December 4, 2014 |
| Mailing address | 521 W. Lake Ave, Peoria, IL 61614 |
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