Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr Paul a Bruggeman DDS PC

Organization Dentist · NPI 1861565871

Dr Paul a Bruggeman DDS PC is a Dentist in Crystal Lake, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17 S Virginia
Crystal Lake, IL 60014
Phone: (815) 455-3123
Fax: (815) 455-3139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 19A14532 (IL)
Dentist Taxonomy 122300000X (IL)

Record details

NPI number1861565871
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Bruggeman — Owner · (815) 455-3123
NPI enumeratedNovember 16, 2006
Last updated in NPPESAugust 22, 2020
Mailing address17 S Virginia, Crystal Lake, IL 60014

Other providers in Crystal Lake