Pouleson, Glenn R
Pouleson, Glenn R is an sole proprietor health care provider with primary practice located at 6800 Main St Apex Endodontics #205, Downers Grove IL 60516. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Pouleson, Glenn R can be contacted via phone (630) 964-4499.Contact Information
Primary practice address
6800 Main St Apex Endodontics #205
Downers Grove IL 60516
Phone: (630) 964-4499
Fax: (630) 964-4523
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 021-001347 | Illinois |
Profile Details
| NPI number | 1679740336 |
|---|---|
| LBN Legal business name | Pouleson, Glenn R |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 13th, 2008 |
| Last updated | May 13th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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