National Provider Identifier Database

GLENN R POULESON, DMD – NPI #1679740336
Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.


Contact Information

GLENN R POULESON, DMD
6800 MAIN ST
APEX ENDODONTICS #205
DOWNERS GROVE, IL60516
Phone: 630-964-4499
Fax: 630-964-4523
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for GLENN R POULESON

NPI Number 1679740336
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 05/13/2008
Last updated 05/13/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers
  • IL License #: 021-001347
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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