OrganizationActive
Robert C. Poulsom, D.D.S., M.s. Ltd
NPI 1275855306 · Periodontics · Park Ridge, IL
Provider details
- NPI number
- 1275855306
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Robert Poulsom, Owner/President(630) 852-1020
- License
- 21.000877 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
350 South Nw Highway
Ste 120
Park Ridge, IL 60068
Phone: (630) 852-1020
Fax: (630) 968-9229
Street-level locationGet directions
Mailing address
350 South Nw Highway
Park Ridge, IL 60068
Registry dates
- Enumerated
- 2010-02-16
- Last updated
- 2010-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.