Organization · Type 2 NPI

Poulsen Dental Corporation

Dentist · Menifee, CA

NPI number 1558884239 Active

Practice location

29121 Newport Road, Ste 1
Menifee, CA 92584

Call (951) 228-9296 Map

Fax (951) 905-1264

Mailing address

PO Box 920050
Dallas, TX 75392-0050

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	None listed

Dentist: 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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

Other dentist providers in Menifee

See all in Menifee →

NPI record

NPI: 1558884239
Entity type: Organization (Type 2)
Issued: Jul 25, 2017
Last updated: Mar 8, 2022
Status: Active

Other names

<unavail>
Menifee Lakes Dental Group · doing business as
Menifee Lakes Dental Group · doing business as

Authorized official

Poulsen D Kyle, DDS
Owner
(951) 228-9296

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1558884239

Poulsen Dental Corporation's National Provider Identifier is 1558884239, issued on Jul 25, 2017. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Menifee, CA. The record was last updated on Mar 8, 2022.