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CHRISTOPHER T. POULSEN DDS PLLC NPI 1669892840


NPI Information

NPI: 1669892840
Provider Name: CHRISTOPHER T. POULSEN, DDS, PLLC

Doing Business As: POST FALLS PERIODONTICS

Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
602 N CALGARY CT
SUITE #102
POST FALLS, ID
ZIP 83854
Phone: (208) 777-1796
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CHRISTOPHER T. POULSEN, DDS, PLLC is a periodontics dentist in Post Falls, ID. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. CHRISTOPHER T. POULSEN, DDS, PLLC NPI is 1669892840. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Post Falls Periodontics.

The provider's business location address is:

602 N CALGARY CT
SUITE #102
POST FALLS, ID
ZIP 83854-000
Phone: (208) 777-1796

The provider's authorized official is Christopher T Poulsen .
The authorized official title is Periodontist/owner and has the following contact phone number (319) 541-6396.

The enumeration date for this NPI number is 4/25/2014 and was last updated on 4/25/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0300XDentistPeriodonticsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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