Robert C. Poulsom, DDS, MS Ltd
Robert C. Poulsom, DDS, MS Ltd provides 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.
Practice location Address checks out
350 S NW Hwy Ste 120Park Ridge, IL 60068 Not confirmed with CMS for 16 years — call before visiting
Phone: (630) 852-1020
Fax: (630) 968-9229
Show map & directions
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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 number | 1275855306 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Poulsom — Owner/President · (630) 852-1020 |
| NPI enumerated | February 16, 2010 |
| Last updated in NPPES | February 16, 2010 |
| Mailing address | 350 South Nw Highway, Ste 120, Park Ridge, IL 60068 |
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Dr. Josephine Difranco Bordignon, RN, DDS
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-
Park Ridge Periodontics, Inc
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-
Periodontal Medicine and Surgical Specialists, LLC
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