SearchIllinois1223G0001X

Bart Paul, DDS

NPI 1205972585 · on the registry since 2007 · sole proprietor

Practice

Address
1957 Pawlisch Dr
Rockford, IL 61112
Phone
(815) 332-3477
Organisation at this address
Cherryvale Dental Center Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois