Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Poulsen Dental Corporation

Organization Dentist · NPI 1558884239

Poulsen Dental Corporation is a Dentist in Menifee, California. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

29121 Newport Rd Ste 1
Menifee, CA 92584
Phone: (951) 228-9296
Fax: (951) 905-1264
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1558884239
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Poulsen Kyle — Owner · (951) 228-9296
Other names Menifee Lakes Dental Group; Menifee Lakes Dental Group
NPI enumeratedJuly 25, 2017
Last updated in NPPESMarch 8, 2022
Certification dateMarch 8, 2022
Mailing addressPo Box 920050, Dallas, TX 75392-0050

Other providers in Menifee