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ROBERT C. POULSOM, D.D.S., M.S. LTD
NPI 1275855306
Dentist - Periodontics in Park Ridge, IL

Active since February 16, 2010
350 SOUTH NW HIGHWAY, STE 120, PARK RIDGE, IL 60068(630) 852-1020(630) 968-9229 Get Directions Write a Review

NPPES record last updated: February 16, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert C. Poulsom, D.d.s., M.s. Ltd NPPES

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

ROBERT C. POULSOM, D.D.S., M.S. LTD (NPI 1275855306) is a healthcare organization registered as a periodontics in Park Ridge, Illinois and active in the NPI registry since February 2010. The organization lists Robert C Poulsom, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1275855306
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameROBERT C. POULSOM, D.D.S., M.S. LTD
Location Address350 SOUTH NW HIGHWAY, STE 120Park Ridge, IL 60068
Mailing Address350 South Nw Highway, Ste 120Park Ridge, IL 60068 · (630) 852-1020 · Fax (630) 968-9229
Phone(630) 852-1020
Fax(630) 968-9229
Organization SubpartNo
Authorized OfficialRobert C PoulsomOwner/president · (630) 852-1020
Enumeration DateFebruary 16, 2010
✔ NPI 1275855306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in IL · 21.000877
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
350 SOUTH NW HIGHWAY, Park Ridge, IL 60068
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Robert C. Poulsom, D.D.S., M.S. Ltd's NPI number?

The NPI number for Robert C. Poulsom, D.D.S., M.S. Ltd is 1275855306. It was assigned to this organization in the NPPES registry on February 16, 2010.

Where is Robert C. Poulsom, D.D.S., M.S. Ltd located?

Robert C. Poulsom, D.D.S., M.S. Ltd is located at 350 South NW Highway Ste 120, Park Ridge, IL 60068. The listed phone number is (630) 852-1020.

What is Robert C. Poulsom, D.D.S., M.S. Ltd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Robert C. Poulsom, D.D.S., M.S. Ltd was last updated on February 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.