Paul E. Etchison, D.D.S.
General Dentistry · New Lenox, IL
UnclaimedD.D.S.NPI 1932334695
- Primary taxonomy
- 1223G0001X
- Enumerated
- 2009-05-26
- Practice location
- New Lenox, IL
- Last NPPES update
- 2012-03-03
State licenses
- IL · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.