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

Robert C. Poulsom, DDS, MS Ltd

Organization Periodontics · NPI 1275855306

Robert C. Poulsom, DDS, MS Ltd is a Periodontics in Park Ridge, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

350 S NW Hwy Ste 120
Park Ridge, IL 60068
Phone: (630) 852-1020
Fax: (630) 968-9229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 21.000877 (IL)

Record details

NPI number1275855306
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Poulsom — Owner/President · (630) 852-1020
NPI enumeratedFebruary 16, 2010
Last updated in NPPESFebruary 16, 2010
Mailing address350 South Nw Highway, Ste 120, Park Ridge, IL 60068

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