Kyle Douglass Poulsen, D.D.S.

General Practice Dentistry · Menifee, CA

Individual Active NPI

NPI number 1982071379

Practice location

29121 Newport Rd Ste 101
Menifee, CA 92584-5121
Phone
(951) 228-9296

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NPI record

NPI
1982071379
Entity type
Individual (Type 1)
Enumeration date
September 1, 2015
Last updated
June 20, 2024
Certified
June 11, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 64955 CA

Other practice locations (1)

  • 32891 Western Hills Dr Ste 103, winchester, CA 92596 · (951) 335-5169

About Dr. Poulsen

Kyle Douglass Poulsen, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 29121 Newport Rd Ste 101, Menifee, CA 92584-5121. The NPI number 1982071379 was assigned on September 1, 2015 and the record was last updated on June 20, 2024.

Dr. Poulsen lists a license in the registry: #64955 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kyle Douglass Poulsen, D.D.S.?

The NPI number is 1982071379.

What is the phone number of Dr. Poulsen?

The phone number listed for the practice location is (951) 228-9296.

Where is Dr. Poulsen located?

29121 Newport Rd Ste 101, Menifee, CA 92584-5121.

What is the taxonomy code for Dr. Poulsen?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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