Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PETER L PAULSON, D.M.D.
Active Sole ProprietorDentist · MOUNT ZION, IL
Registration Details
- NPI Number
- 1124160247
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 13, 2007 (19.21121259631 yrs)
- Last Updated
- Apr 25, 2012
- Licenses
-
019.016569 (IL)019016569 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1465 EAST VILLAGE PARKWAYMOUNT ZION, IL, 62549Browse IL providers · Browse ZIP 62549
- Phone
- 2178649318
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- General Dentistry
Other Dentist Providers in MOUNT ZION, IL
| Name | Credential | NPI |
|---|---|---|
| DR. JULIA A PAULSON | D.M.D. | 1174665285 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.