Jerrold Jerome Pollack, DDS RPH

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3810 Issued in MD

Practice address

1700 Reisterstown Rd
Suite 206
Baltimore, MD 21208-1416

Phone

(800) 659-7828

Fax

(410) 653-7303

NPI assigned

Jul 26, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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

• Jerrold J. Pollack,D.D.S.,P.a

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Frederick, MD
  • NPI 1952312209
  NPD (past) Authorized official

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1134143241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 WOODLYN CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217036963",
            "telephone_number": "301-371-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 REISTERSTOWN RD",
            "address_2": "SUITE 206",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212081416",
            "telephone_number": "800-659-7828",
            "fax_number": "410-653-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "JERROLD",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "DDS RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "3810",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "6505",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Daniel Polk, M.D.
• Tara Polla, DNP
• Adria Pollack
• Craig Evan Pollack, M.D.
• Gabrielle Pollack, MD, MPH
• John Howard Pollack, MD
• Andrew Pollak, M.D
• Anne Pollard Brust
• Kristi Pollard, CRNP
• London Pollard

• Orthodontics and Dentofacial Orthopedics Dentistry in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.