Individual provider Active NPI

Valerie C Pollock, DDS, PA

  • Dentist
  • Burgaw, NC
National Provider Identifier
1013074020
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7419 Issued in NC
Practice address
302 S Bennett St
Burgaw, NC 28425
Phone
(910) 259-2053
Fax
(910) 259-2057
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7419 NC
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 7419 NC
Sleep Medicine (Family Medicine) Physician 207QS1201X 7419 NC
Dentist 122300000X 7419 NC Primary

Addresses

Primary practice location

302 S Bennett St
Burgaw, NC 28425

Mailing address

PO Box 874
Burgaw, NC 28425-0874
Phone (910) 259-2053

Other identifiers 5

IdentifierTypeStateIssuer
1013074020OtherNCINDIVIDUAL NPI
902E7OtherNCBCBS OF NC MEDICAL BILLING
016FYOtherNCBCBS OF NC
89902E7MedicaidNC
1992881254OtherNCGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251112001256 NC Practitioner - Dentist 3476866823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of North Carolina School of Dentistry, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

302 S Bennett St
Burgaw, NC 28425-5048
Phone (910) 259-2053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7419NCMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Valerie C. Pollock, D.D.S., P.a. General Practice CurrentSince Dec 17, 2015 Accepting new patients
V C Pollock, DDS PLLC General Practice CurrentSince Sep 22, 2025 Accepting new patients

Locations

302 S Bennett St
Burgaw, NC 28425
Phone (910) 259-2053

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1013074020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 874",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284250874",
            "telephone_number": "910-259-2053",
            "fax_number": "910-259-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S BENNETT ST",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "28425",
            "telephone_number": "910-259-2053",
            "fax_number": "910-259-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "VALERIE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS, PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7419",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NC",
            "license": "7419",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "NC",
            "license": "7419",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "7419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1013074020",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC MEDICAL BILLING",
            "identifier": "902E7",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "016FY",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902E7",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1992881254",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burgaw, NC

Sources for this page

Verify at the official NPI Registry.