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

Dr. Roger Louis Paul, DMD

Individual provider General Practice Dentistry · NPI 1497829063

Dr. Roger Louis Paul, DMD is a General Practice Dentistry in Peoria, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

521 W Lake Ave
Peoria, IL 61614-6020
Phone: (309) 682-0770
Fax: (309) 682-7285
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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 number1497829063
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedNovember 17, 2006
Last updated in NPPESJuly 8, 2007

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