IndividualActive
Robert Poulsom, D.D.S., M.S., J.D.
NPI 1689744054 · Periodontics · Downers Grove, IL
Robert Poulsom, D.D.S., M.S., J.D. is a Periodontics provider in Downers Grove, IL (NPI 1689744054).
Provider details
- NPI number
- 1689744054
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.D.S., M.S., J.D.
- Sex
- Male
- Sole proprietor
- Yes
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
19 yrs in NPPES registry
- Profile completeness38% of score
83% 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
6800 Main St
Ste 206
Downers Grove, IL 60516-3493
Phone: (630) 852-1020
Fax: (630) 968-9229
Street-level locationGet directions
Mailing address
6800 Main St
Downers Grove, IL 60516-3493
Registry dates
- Enumerated
- 2006-11-09
- Last updated
- 2007-07-08
Frequently asked questions
- What is Robert Poulsom's NPI number?
- Robert Poulsom's National Provider Identifier (NPI) is 1689744054, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Robert Poulsom's specialty?
- Robert Poulsom is listed in the NPPES registry with a primary specialty of Periodontics (Dental Providers).
- Where is Robert Poulsom located?
- Robert Poulsom's practice location on file with NPPES is 6800 Main St, Downers Grove, IL 60516-3493.
- What is Robert Poulsom's phone number?
- The practice phone number listed in the NPPES registry for Robert Poulsom is (630) 852-1020.
- Is Robert Poulsom's NPI active?
- Yes — Robert Poulsom's NPI (1689744054) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.