Paul David Doodes, D.D.S., PH.D.

General Practice Dentistry · Glen Ellyn, IL

Individual Active NPI

NPI number 1164782066

Practice location

45 S Park Blvd Ste 190
Glen Ellyn, IL 60137-6282
Phone
(630) 469-0800
Fax
(630) 474-0597

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NPI record

NPI
1164782066
Entity type
Individual (Type 1)
Enumeration date
May 24, 2012
Last updated
September 13, 2021
Certified
October 15, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019028983 IL

About Dr. Doodes

Paul David Doodes, D.D.S., PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 45 S Park Blvd Ste 190, Glen Ellyn, IL 60137-6282. The NPI number 1164782066 was assigned on May 24, 2012 and the record was last updated on September 13, 2021.

Dr. Doodes lists a license in the registry: #019028983 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Paul David Doodes, D.D.S., PH.D.?

The NPI number is 1164782066.

What is the phone number of Dr. Doodes?

The phone number listed for the practice location is (630) 469-0800.

Where is Dr. Doodes located?

45 S Park Blvd Ste 190, Glen Ellyn, IL 60137-6282.

What is the taxonomy code for Dr. Doodes?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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