Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932334695 Individual Practitioner Male Practitioner

Dr. Paul Edward Etchison , DDS

Dentist - General Practice • New Lenox, IL

Professional Overview & Biography Verified Profile Summary

Dr. Paul Etchison, DDS is a registered healthcare professional specializing in Dentist - General Practice in New Lenox, IL. Practice services are available at 820 LARAWAY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

820 Laraway Rd

New Lenox, IL 604512694

Telephone 8155246000
Associated Practice Facility / Clinic
🏢 Nelson Ridge Family Dental Facility NPI 1306111349

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in New Lenox, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
14 Specialists

Practicing in New Lenox, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.027903

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1336716026

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 03, 2012

NPI status registered as active in NPPES database

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Updated Practice Location March 03, 2012

Registered at 820 LARAWAY RD, NEW LENOX, IL 604512694 (Tel: 8155246000)

📍
Updated Business Mailing Address March 03, 2012

Registered at 820 LARAWAY RD, NEW LENOX, IL 604512694 (Tel: 8155246000)

👤
Provider Name / Credentials Updated March 03, 2012

Recorded as PAUL ETCHISON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2012

Dentist (License #019.027903 in IL)

🟢
Initial NPI Registration & Enumeration May 26, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932334695
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 26, 2009
Last Update: March 03, 2012
Sole Proprietor: No

Mailing Address

820 Laraway Rd

New Lenox, IL 604512694

Phone: 8155246000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.