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Dr. Robert Colin Poulsom, DDS,MS,JD
Periodontist in Downers Grove, Illinois
NPI 1689744054

Robert Colin Poulsom is a Periodontist based in Downers Grove, IL and is specialized in Periodontics. Robert Colin Poulsom practices in Downers Grove, IL and has the professional credentials of DDS,MS,JD. The NPI Number for Robert Colin Poulsom is 1689744054 and holds a License No. (Illinois).

The current practice location address for Robert Colin Poulsom is 6800 Main St, Downers Grove, IL and can be reached out via phone at 630-852-1020 and via fax at 630-968-9229. You can also correspond with Robert Colin Poulsom through the mailing address at 6800 MAIN ST, DOWNERS GROVE, IL - 60516-3493 (mailing address contact number: 630-852-1020).

Location: 6800 Main St, Downers Grove, IL, 60516-3493
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689744054
Provider Name
Robert Colin Poulsom
Credential
DDS,MS,JD
Provider Entity Type
Individual
Gender
Male
Address
6800 Main St, Downers Grove, IL, 60516-3493
Phone Number
630-852-1020
Fax Number
630-968-9229
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6800 Main St
City
Downers Grove
State
Illinois
Zip
60516-3493
Phone Number
630-852-1020
Fax Number
630-968-9229
person
Provider Business Mailing Address Details
Address
6800 Main St
City
Downers Grove
State
Illinois
Zip
60516-3493
Phone Number
630-852-1020
Fax Number
630-968-9229
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
(Illinois)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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