# PAUL A SMULSON DDS ORAL SURGERY LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598830325
- **Authorized official:** PAUL A SMULSON (PRESIDENT)
- **Authorized official phone:** (847) 251-0077

## Contact information

- **Practice address:** 5400 N MILWAUKEE AVE, CHICAGO, IL 60630-1272
- **Practice address phone:** (773) 763-6836
- **Practice address fax:** (773) 775-4431
- **Mailing address:** 5400 N MILWAUKEE AVE, CHICAGO, IL 60630-1272
- **Mailing address phone:** (773) 763-6836
- **Mailing address fax:** (773) 775-4431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | IL | Yes |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 08/22/2020