CORENE J. POELMAN D.D.S. M.S. APC NPI 1487769121

NPI Information

  • NPI: 1487769121
  • Provider Name: CORENE J. POELMAN, D.D.S., M.S., APC
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Organization
  • Doing Business As: RANCHO BERNARDO ENDODONTICS
  • Address: 16466 BERNARDO CENTER DR
    SUITE 176
    SAN DIEGO, CA
    ZIP 92128
  • Phone: (858) 676-6709

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NPI Details

CORENE J. POELMAN, D.D.S., M.S., APC is an endodontics dentist in San Diego, CA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. CORENE J. POELMAN, D.D.S., M.S., APC NPI is 1487769121. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Rancho Bernardo Endodontics.

The provider's business location address is:

16466 BERNARDO CENTER DR
SUITE 176
SAN DIEGO, CA
ZIP 92128-508
Phone: (858) 676-6709
Fax: (858) 676-6739

The provider's authorized official is Corene Janna Poelman .
The authorized official title is Owner/endodontist and has the following contact phone number (858) 676-6709.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 6/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodontics44355CALIFORNIAYes

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This page was last updated on: 11/21/2025

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