Paul M Anfenson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19061 Issued in IL

Practice address

115 S Wilke Rd
Suite 104
Arlington Heights, IL 60005-1532

Phone

(847) 253-0195

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Edp of Illinois P.C

  • Dental Clinic/Center
  • Dupo, IL
  • NPI 1154712784
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114967262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S WILKE RD",
            "address_2": "SUITE 104",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051532",
            "telephone_number": "847-253-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S WILKE RD",
            "address_2": "SUITE 104",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051532",
            "telephone_number": "847-253-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANFENSON",
        "first_name": "PAUL",
        "middle_name": "M",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Anderson
• Lori L. Anderson, M.D.
• Nora Anderson
• Gerald Thomas Andreoli, DC
• Jerry Andrews, D.O.
• Sarah Lynn Angarone, M.A., CCC-SLP/L
• Anik Life Sciences Medical Corporation
• Judith A Annes, OT
• Naveed Zafar Ansari, MD
• Giedre Liepa-Liuba Antanaitis-Rudawski, LPC

• All providers in Arlington Heights, IL
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.