Robert C Poulsom Dds Ms Ltd in Downers Grove - Dentist

Robert C Poulsom Dds Ms Ltd - NPI 1669580718

Robert C Poulsom Dds Ms Ltd is a Dentist in Downers Grove, Illinois. Robert C Poulsom Dds Ms Ltd practices all healthcare services and medical treatments related to Dentist. The NPI Number for Robert C Poulsom Dds Ms Ltd is 1669580718. The last update date is 2010-02-16.

Robert C Poulsom Dds Ms Ltd's current location address is 6800 S Main St, Downers Grove, Illinois. You can contact this provider via phone number 6308521020 and fax number 6309689229. The mailing address for Robert C Poulsom Dds Ms Ltd is 6800 S Main St, Downers Grove, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Robert C Poulsom Dds Ms Ltd
Address 6800 S Main St, Downers Grove, Illinois
Phone Number 6308521020
Fax Number 6309689229
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Poulsom Colin Robert
Credentials DDS
Telephone Number 6308521020

NPI Number Detail

NPI Number 1669580718
Provider Enumeration Date 2006-08-28
Last Updated Date 2010-02-16

Provider Mailing Address Detail

Address 6800 S Main St
City Downers Grove
State Illinois (IL)
Post Code 60516
Phone Number 6308521020
Fax Number 6309689229

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 19014659
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Robert C Poulsom Dds Ms Ltd

What is the unique identification code assigned to Robert C Poulsom Dds Ms Ltd by the Centers for Medicare & Medicaid Services?

The Robert C Poulsom Dds Ms Ltd has been issued the NPI (National Provider Identifier) 1669580718. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Robert C Poulsom Dds Ms Ltd?

The Robert C Poulsom Dds Ms Ltd is situated at 6800 S Main St, in the city of Downers Grove, state of IL, with the zip code 60516.

What is the Robert C Poulsom Dds Ms Ltd's specialty and taxonomy code?

The Robert C Poulsom Dds Ms Ltd's specialty is Dentist, and the corresponding taxonomy code is 122300000X.

When did the Robert C Poulsom Dds Ms Ltd receive its 1669580718?

The Robert C Poulsom Dds Ms Ltd was issued its 1669580718 on 2006-08-28, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Robert C Poulsom Dds Ms Ltd most recently updated or revised?

The information pertaining to Robert C Poulsom Dds Ms Ltd, including its address, specialty, and other relevant details, was last updated or revised on 2010-02-16.

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