CHRISTOPHER T. POULSEN, DDS, PLLC (NPI# 1669892840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669892840 |
| Entity Type | Organization |
| Organization Name | CHRISTOPHER T. POULSEN, DDS, PLLC |
| Other Organization Name | POST FALLS PERIODONTICS |
| Practice Address |
602 N Calgary Ct Suite #102 Post Falls ID 83854-4000 |
| Practice Telephone | 2087771796 |
| Mailing Telephone | 2087771796 |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2014-04-25 |
| Authorized Official Name | DR. CHRISTOPHER T POULSEN (PERIODONTIST/OWNER) |
| Authorized Official Telephone | 3195416396 |
| Authorized Official Credential | D.D.S., M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Post Falls Periodontics | Doing Business As Name - Organization |
| Street Address |
602 N CALGARY CT SUITE #102 |
| City | POST FALLS |
| State | ID |
| Zip Code | 83854-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346268208 | Bradley Shane Barlow | Dentist | 602 N Calgary Ct, Suite 201, Post Falls, ID 83854-4000 | 2006-07-18 |
| 1861926677 | Little Smiles Pediatric Dentistry PC | Dentist | 602 N Calgary Ct, Suite 201, Post Falls, ID 83854-4000 | 2017-04-18 |
| 1619424611 | Bryan W. Mclelland, D.d.s., P.s. | Clinic/Center | 602 N Calgary Ct, Suite 202, Post Falls, ID 83854-4000 | 2016-09-07 |
| 1518298421 | Post Falls Asc, L.L.C. | Clinic/Center | 602 N Calgary Ct, Suite 203, Post Falls, ID 83854-4000 | 2010-01-18 |
| 1225298656 | Aes Post Falls | Dentist | 602 N Calgary Ct, Suite 301, Post Falls, ID 83854-4000 | 2008-06-10 |
| 1023296605 | Little Smiles Pedatric Dentistry of North Idaho | Dentist | 602 N Calgary Ct, Suite 201, Post Falls, ID 83854-4000 | 2008-02-05 |
| 1942327697 | Steven Ryan Facer | Dentist | 602 N Calgary Ct, Suite 301, Post Falls, ID 83854 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264032 | Esteem Counseling, LLC | Counselor | 1404 North Marcasite Court, Post Falls, ID 83854 | 2020-08-07 |
| 1497376685 | Teresa Marie Ragan | Registered Nurse | 1551 E Mullan Ave Bldg A, Ste 200b, Post Falls, ID 83854 | 2020-04-29 |
| 1245792910 | Samantha Patricia Bourassa | Specialist/Technologist | 2832 E Poleline Ave, Post Falls, ID 83854 | 2019-04-02 |
| 1003392598 | Joshua Welz | Psychologist | 3211 N Guinness Ln Apt 201, Post Falls, ID 83854 | 2018-07-17 |
| 1639608094 | Anthony Leodis Walls Jr. | Specialist/Technologist | 8732 N Meyer Rd, Post Falls, ID 83854 | 2017-06-08 |
| 1831635911 | Glenda Felts | Social Worker | 8561 N Cloverleaf Rd, # 22, Hauser, ID 83854 | 2017-01-12 |
| 1144763467 | Rachel M. Pope | Behavioral Analyst | 204 E 1st Ave Apt 4, Post Falls, ID 83854 | 2016-11-18 |
| 1871960393 | Randy Robinson | Massage Therapist | 2525 E Seltice Way Ste C, Post Falls, ID 83854 | 2015-09-01 |
| 1194112375 | James Bailey | Family Medicine | 185 W 4th Ave Ste B, Post Falls, ID 83854 | 2015-04-24 |
| 1033534953 | Lauren Tandy | Speech-Language Pathologist | 398 S. Corbin Rd., Post Falls, ID 83854 | 2014-02-28 |
| Find all providers in zip 83854 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972968998 | Treasure Valley Periodontics | Dentist | 813 N Stilson Rd Ste C, Boise, ID 83703-5119 | 2015-12-17 |
| 1689077026 | Florence and Lincks and Associates | Dentist | 140 E Boise Ave Ste A, Boise, ID 83706-4374 | 2014-09-30 |
| 1588827125 | Richard E. Ferguson D.d.s.,m.s. Pa | Dentist | 813 Stilson Rd Ste C, Boise, ID 83703-5119 | 2008-07-03 |
| 1225255748 | Jason M Peterson | Dentist | 1980 1st St, Idaho Falls, ID 83401-4342 | 2007-04-18 |
| 1245310036 | Kenneth G. Sherman II | Dentist | 1228 N Cole Rd, Boise, ID 83704-8646 | 2006-10-16 |
| 1497835599 | Joel Newton | Dentist | 2064 Washington Street North, Twin Falls, ID 83301 | 2006-10-16 |
| 1710096896 | Bradley J. Morlock, D.d.s.,p.c. | Dentist | 3323 4th St, Lewiston, ID 83501-4423 | 2006-08-30 |
| 1700994852 | Bradley Lynn Townsend | Dentist | 6019 N. Eagle Rd., Boise, ID 83713 | 2006-08-28 |
| 1235147281 | Michael John Florence | Dentist | 140 East Boise Avenue, Boise, ID 83706 | 2006-08-04 |
| 1346224458 | Jack H Lincks | Dentist | 140 E Boise Ave, Boise, ID 83706-4373 | 2005-12-01 |
| Find all providers with the same taxonomy | ||||
| City | POST FALLS |
| Zip Code | 83854 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.