Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLENN R POULESON, DMD
Active Sole ProprietorGLENN R POULESON, DMD is a Endodontics healthcare provider located in DOWNERS GROVE, Illinois. NPI 1679740336 is currently active in the NPPES registry. Verify at CMS.
Endodontics · DOWNERS GROVE, IL
Registration Details
- NPI Number
- 1679740336
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 13, 2008 (18.245857325089 yrs)
- Last Updated
- May 13, 2008
- License
-
021-001347 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6800 MAIN STAPEX ENDODONTICS #205DOWNERS GROVE, IL, 60516Browse IL providers · Browse ZIP 60516
- Phone
- 6309644499
- Fax
- 6309644523
- Primary Specialty
-
Endodontics
1223E0200X
Other Endodontics Providers in DOWNERS GROVE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL JOHN CHUTICH | DDS | 1902882798 |
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.