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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROBERT C. POULSOM, D.D.S., M.S. LTD

Active Organization

ROBERT C. POULSOM, D.D.S., M.S. LTD is a Periodontology organization located in PARK RIDGE, Illinois. NPI 1275855306 is currently active in the NPPES registry. Verify at CMS.

Periodontology · PARK RIDGE, IL

Registration Details

NPI Number
1275855306
Provider Type
Organization
NPI Issued
Feb 16, 2010 (16.529424135171 yrs)
Last Updated
Feb 16, 2010
License
21.000877 (IL)

Practice Information

Address
350 SOUTH NW HIGHWAY
STE 120
PARK RIDGE, IL, 60068
Browse IL providers · Browse ZIP 60068
Phone
6308521020
Fax
6309689229
Primary Specialty
Periodontology
1223P0300X

Other Periodontology Organizations in PARK RIDGE, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.