NPI

Peter L Paulson

NPI 1124160247

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
D.M.D.
Type
Individual
Enumeration date
2007-02-13
Last updated
2012-04-25

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Specialties

Licenses

License IL
019.016569
License IL
019016569

Location

Practice location
1465 East Village Parkway
City
Mount Zion IL
Postal code
62549
Phone
(217) 864-9318

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Mount Zion, IL. 12 records in the public file.

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