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

Dr Paul & Dr Anderson, Dental PC

Organization General Practice Dentistry · NPI 1154728228

Dr Paul & Dr Anderson, Dental PC is a 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.

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Practice location Address checks out

521 W Lake Ave
Peoria, IL 61614-6020
Phone: (309) 682-0770
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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 number1154728228
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Paul — Dentist · (309) 682-0770
NPI enumeratedDecember 4, 2014
Last updated in NPPESDecember 4, 2014
Mailing address521 W. Lake Ave, Peoria, IL 61614

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