OrganizationActive
Dr. Paul & Dr. Anderson, Dental PC
NPI 1154728228 · General Practice Dentistry · Peoria, IL
Provider details
- NPI number
- 1154728228
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Roger Paul, Dentist(309) 682-0770
- License
- 1916423 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
521 W Lake Ave
Peoria, IL 61614-6020
Phone: (309) 682-0770
Street-level locationGet directions
Mailing address
521 W. Lake Ave
Peoria, IL 61614
Registry dates
- Enumerated
- 2014-12-04
- Last updated
- 2014-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.