Nathan B. Poleck DMD LLC

Primary specialty

DentistTaxonomy code 122300000X

License

G1-0001304 Issued in DE

Legal business name

NATHAN B. POLECK DMD LLC

Practice address

5501 Kirkwood Hwy
Wilmington, DE 19808-5001

Phone

(302) 750-0308

NPI assigned

Sep 29, 2015

Last updated

Mar 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nathan Bresnie Poleck, DMDNPI 1710276910

Title

Owner

Phone

(302) 750-0308

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nathan Poleck, D.M.D.

  • Dentist
  • Wilmington, DE
  • NPI 1710276910
  NPD (past) Authorized official

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1083084321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 KIRKWOOD HWY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085001",
            "telephone_number": "302-750-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 KIRKWOOD HWY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085001",
            "telephone_number": "302-750-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN B. POLECK DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "POLECK",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "BRESNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-750-0308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "G1-0001304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Dentist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.