Individual provider · Type 1 NPI

Kenneth Poulsen, DDS

General Practice Dentistry · Boulder, CO

NPI number 1700950391 Active

Practice location

3400 Penrose Pl, Suite 105
Boulder, CO 80301-1809

Call (303) 449-3131 Map

Fax (303) 449-9487

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X6156 (CO)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1700950391

Kenneth Poulsen, DDS's National Provider Identifier is 1700950391, issued on Nov 17, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Boulder, CO. The record was last updated on Jul 8, 2007.