Glenn R Pouleson, DMD - Dentist in Downers Grove, IL

Glenn R Pouleson, DMD is a Dentist - Endodontics based in Downers Grove, Illinois. Glenn R Pouleson is licensed to practice in Illinois (license number 021-001347) and his current practice location is 6800 Main St, Apex Endodontics #205, Downers Grove, Illinois. He can be reached at his office (for appointments etc.) via phone at (630) 964-4499.

NPI number for Glenn R Pouleson is 1679740336 and his current mailing address is 6800 Main St, Apex Endodontics #205, Downers Grove, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679740336.

Contact Information

Glenn R Pouleson, DMD
6800 Main St, Apex Endodontics #205,
Downers Grove, IL 60516
(630) 964-4499
(630) 964-4523

Map and Direction




Healthcare Provider's Profile

Full NameGlenn R Pouleson
GenderMale
SpecialityDentist - Endodontics
Location6800 Main St, Downers Grove, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1679740336
  • Provider Enumeration Date: 05/13/2008
  • Last Update Date: 05/13/2008

Medical Identifiers

Medical identifiers for Glenn R Pouleson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679740336NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223E0200XDentist - Endodontics 021-001347 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Glenn R Pouleson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Glenn R Pouleson, DMD
6800 Main St, Apex Endodontics #205,
Downers Grove, IL 60516

Ph: (630) 964-4499
Glenn R Pouleson, DMD
6800 Main St, Apex Endodontics #205,
Downers Grove, IL 60516

Ph: (630) 964-4499

Reviews and Comments


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