Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WENDALL PETER POULSEN, D.D.S.
Active Sole ProprietorDR. WENDALL PETER POULSEN, D.D.S. is a Dentist healthcare provider located in BURTONSVILLE, Maryland. NPI 1679603773 is currently active in the NPPES registry. Verify at CMS.
Dentist · BURTONSVILLE, MD
Registration Details
- NPI Number
- 1679603773
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 7, 2007 (19.434759111475 yrs)
- Last Updated
- Jul 8, 2007
- License
-
09165 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4040 BLACKBURN LNSUITE 180BURTONSVILLE, MD, 208666136Browse MD providers · Browse ZIP 20866
- Phone
- 3014219001
- Fax
- 3014219772
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in BURTONSVILLE, MD
| Name | Credential | NPI |
|---|---|---|
| MS. JACQUELYN HOANG | — | 1750483673 |
| KEVIN PATRICK DOOLEY | D.D.S. | 1831548908 |
| BRYCE R MILLER | DDS | 1528551975 |
| CLAUDIA M NGO | DDS | 1073358594 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.