The Mark a Pollak Corp Dba Mark a Pollak DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD1763 Issued in NM

Legal business name

THE MARK A POLLAK CORP DBA MARK A POLLAK DDS

Doing business as

Mark A Pollak DDS

Practice address

3700 Coors NW
Suite D
Albuquerque, NM 87120

Phone

(505) 344-6565

Fax

(505) 344-8217

NPI assigned

Jan 17, 2007

Last updated

Jun 12, 2009By 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

Mr. Mark A Pollak, DDS

Title

President

Phone

(505) 344-6565

Specialties & licenses 1

Addresses

Other names 1

• Mark A Pollak DDS Doing business as

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.

• Theron Reed Burk, DMD

  • General Practice Dentistry
  • Farmington, NM
  • NPI 1285869792
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1083766521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 COORS NW",
            "address_2": "SUITE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87120",
            "telephone_number": "505-344-6565",
            "fax_number": "505-344-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 COORS NW",
            "address_2": "SUITE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87120",
            "telephone_number": "505-344-6565",
            "fax_number": "505-344-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MARK A POLLAK CORP DBA MARK A POLLAK DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "POLLAK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-344-6565",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD1763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark A Pollak DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Human Body Shop
• The Lactation Network, LLC
• The Lasik Vision Institute LLC
• The Learning Curve, LLC.
• The Legend of Hope Psychiatry LLC
• The Medic Group, LLC (Medic Massage, LLC)
• The Mind Research Network
• The Mood Room LLC
• The New Beginnings LLC
• The New Beginnings Senior Living

• General Practice Dentistry in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; 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.