Peter L Paulson is a Dentist in Mount Zion, Illinois. Peter L Paulson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Peter L Paulson is 1124160247. The last update date is 2012-04-25.
Peter L Paulson's current location address is 1465 East Village Parkway, Mount Zion, Illinois. You can contact this provider via phone number 2178649318. The mailing address for Peter L Paulson is 1465 East Village Parkway, Mount Zion, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter L Paulson |
|---|---|
| Address | 1465 East Village Parkway, Mount Zion, Illinois |
| Phone Number | 2178649318 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1124160247 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2012-04-25 |
Provider Mailing Address Detail
| Address | 1465 East Village Parkway |
|---|---|
| City | Mount Zion |
| State | Illinois (IL) |
| Post Code | 62549 |
| Phone Number | 2178649318 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19.016569 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identifier code issued to Peter L Paulson by the Centers for Medicare & Medicaid Services (CMS)?
The Peter L Paulson has been assigned the NPI (National Provider Identifier) 1124160247. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Peter L Paulson?
The Peter L Paulson is physically situated at 1465 East Village Parkway, in the city of Mount Zion, state of IL, with the postal code 62549.
What is the Peter L Paulson's specialty and taxonomy code?
The Peter L Paulson's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Peter L Paulson receive the assignment of its 1124160247 from the Centers for Medicare & Medicaid Services?
The Peter L Paulson was issued its 1124160247 by the Centers for Medicare & Medicaid Services on 2007-02-13.
As of what date were the Peter L Paulson's details last updated?
The information pertaining to the Peter L Paulson, including its address, specialty, and other details, was most recently updated on 2012-04-25.
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