Taxonomy Code 1223P0300X(1223p0300x)
Periodontist. Providers: 3
Periodontist Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
DR. D.D.S., M.S., J.D. Robert Colin Poulsom |
Individual |
6800 Main St Ste 206 Downers Grove, IL |
|
|
DR. DDS, MSD Paul John Denemark |
Individual |
3450 Lacy Road Downers Grove, IL |
|
|
DDS Jingyuan Fan |
Individual |
3450 Lacey Road Downers Grove, IL |
How to obtain, renew, or terminate an NPI
Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...
| Taxonomy Code | 1223P0300X |
| Specialization | Periodontics |
| Display Name | Periodontist |
| Taxonomy Group | Dental Providers |
| Taxonomy Classification | Dentist |
| Definition | 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. |
| Effective Date | September 30, 2009 |