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DR. WILLIAM BRUCE POULSEN D.D.S.
NPI 1124233101
Dentist - Endodontics in Evansville, IN

Active since May 11, 2007Opted out of Medicare · through May 29, 2027
2709 WASHINGTON AVE, EVANSVILLE, IN 47714(812) 476-8000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. William Bruce Poulsen D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILLIAM BRUCE POULSEN D.D.S. (NPI 1124233101) is an individual endodontics provider in Evansville, Indiana, licensed in Indiana (12010129A) and active in the NPI registry since May 2007. He has opted out of Medicare through May 29, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124233101
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. WILLIAM BRUCE POULSENCredential: D.D.S.
Location Address2709 WASHINGTON AVEEvansville, IN 47714-2411
Mailing Address2709 Washington AveEvansville, IN 47714-2411 · (812) 476-8000
Phone(812) 476-8000
Sole ProprietorNo
Enumeration DateMay 11, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124233101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in IN · 12010129A
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
2709 WASHINGTON AVE, Evansville, IN 47714
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Indiana, HRI Dental & Vision, Paramount.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. William Bruce Poulsen D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 29, 2015 through May 29, 2027.

Opt-Out Effective DateMay 29, 2015
Opt-Out In Effect ThroughMay 29, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47714 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIDWEST ENDODONTICS LLC
Dentist (Endodontics)
2709 WASHINGTON AVE, SUITE 1
EVANSVILLE, IN 47714
Vanderburgh County (812) 476-8000
DR. JONATHAN WILLIAM REITZ DDS
Dentist (Endodontics)
2709 WASHINGTON AVE
EVANSVILLE, IN 47714
Vanderburgh County (812) 476-8000
DR. BRENT R GRAFE D.D.S.
Dentist (Endodontics)
2709 WASHINGTON AVE
EVANSVILLE, IN 47714
Vanderburgh County (812) 476-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Poulsen's NPI number?

The NPI number for William Poulsen is 1124233101. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is William Poulsen located?

William Poulsen practices at 2709 Washington Ave, Evansville, IN 47714. The listed phone number is (812) 476-8000.

What is William Poulsen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is William Poulsen enrolled in Medicare?

No. William Poulsen has opted out of Medicare through May 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does William Poulsen accept?

Health plans from Delta Dental of Indiana, HRI Dental & Vision and Paramount list William Poulsen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for William Poulsen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.