Individual provider · Type 1 NPI

Robert Colin Poulsom, DDS, M.S., J.D.

Periodontics · Downers Grove, IL

NPI number 1689744054 Active

Practice location

6800 Main St, Ste 206
Downers Grove, IL 60516-3493

Call (630) 852-1020 Map

Fax (630) 968-9229

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XNone listed

Periodontics: 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.

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About NPI 1689744054

Robert Colin Poulsom, DDS, M.S., J.D.'s National Provider Identifier is 1689744054, issued on Nov 9, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Downers Grove, IL. The record was last updated on Jul 8, 2007.