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

Individual provider Endodontics · NPI 1679740336

Glenn R Pouleson, DMD is an Endodontics in Downers Grove, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2008
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

6800 Main St Apex Endodontics #205
Downers Grove, IL 60516
Phone: (630) 964-4499
Fax: (630) 964-4523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 021-001347 (IL)

Record details

NPI number1679740336
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMay 13, 2008
Last updated in NPPESMay 13, 2008

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