Dr. William Bruce Poulsen
Endodontist
2709 Washington Ave
Evansville
, Indiana 47714-2411
Dr. William Bruce Poulsen
Endodontist
2709 Washington Ave
Evansville
, Indiana 47714-2411
(812) 476-8000
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. William Bruce Poulsen
- 2709 Washington Ave
- Evansville, IN
- Zip : 47714-2411
- Phone : (812) 476-8000
Second Address
- Dr. William Bruce Poulsen
- 2709 Washington Ave
- Evansville, IN
- Zip : 47714-2411
- Phone : (812) 476-8000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 12010129A | IN |
National Provider Identifier
| NPI | 1124233101 |
|---|---|
| Provider Name | Dr. William Bruce Poulsen |
| First Address | Evansville, IN 47714-2411 |
| Second Address | Evansville, IN 47714-2411 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/05/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.