OrganizationActive
Poulsen Dental Corporation
NPI 1558884239 · Dentist · Menifee, CA
Poulsen Dental Corporation is a Dentist organization in Menifee, CA (NPI 1558884239).
Provider details
- NPI number
- 1558884239
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Poulsen Kyle, Owner(951) 228-9296
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
29121 Newport Road, Ste 1
Menifee, CA 92584
Phone: (951) 228-9296
Fax: (951) 905-1264
Street-level locationGet directions
Mailing address
Po Box 920050
Dallas, TX 75392-0050
Other names (DBA / former)
- Doing business as
- Menifee Lakes Dental Group
- Doing business as
- Menifee Lakes Dental Group
Registry dates
- Enumerated
- 2017-07-25
- Last updated
- 2022-03-08
- Certified
- 2022-03-08
Frequently asked questions
- What is Poulsen Dental Corporation's NPI number?
- Poulsen Dental Corporation's National Provider Identifier (NPI) is 1558884239, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Poulsen Dental Corporation?
- Poulsen Dental Corporation is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Poulsen Dental Corporation located?
- Poulsen Dental Corporation's practice location on file with NPPES is 29121 Newport Road, Ste 1, Menifee, CA 92584.
- What is Poulsen Dental Corporation's phone number?
- The practice phone number listed in the NPPES registry for Poulsen Dental Corporation is (951) 228-9296.
- Who is the authorized official for Poulsen Dental Corporation?
- The authorized official listed on Poulsen Dental Corporation's NPPES record is Poulsen Kyle, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Poulsen Dental Corporation's NPI active?
- Yes — Poulsen Dental Corporation's NPI (1558884239) is active in the NPPES registry as of the last update on 2022-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.