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NPI 1487902615

IndividualActive

Alan Polse, D.D.S.

NPI 1487902615 · Dentist · Elgin, IL

Provider details

NPI number: 1487902615
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: D.D.S.
Sex: Male
Sole proprietor: Yes
License: 1915649 (IL)

Practice location

2000 Larkin Ave Suite 102

Elgin, IL 60123

Phone: (847) 888-8108

Fax: (847) 888-8170

More IL providers

Mailing address

2000 Larkin Ave Suite 102

Elgin, IL 60123

Registry dates

Enumerated: 2012-08-20
Last updated: 2012-08-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Alan Polse, D.D.S. — NPI 1487902615, Elgin, IL | NPI Central