IndividualActive
Robert Poulard
NPI 1942652086 · Dental Assistant · Fort Leonard Wood, MO
Provider details
- NPI number
- 1942652086
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Dental Providers
Practice location
4566 Oklahoma Ave
Bldg 2100
Fort Leonard Wood, MO 65473-1638
Phone: (573) 596-2903
Approximate (ZIP-level) locationGet directions
Mailing address
4566 Oklahoma Ave
Fort Leonard Wood, MO 65473-1638
Registry dates
- Enumerated
- 2016-07-12
- Last updated
- 2016-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.