Organization Active NPI

Michael J Pollock DDS Inc

  • Dentist
  • Middletown, OH
National Provider Identifier
1144586496
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30015504 Issued in OH
Legal business name
MICHAEL J POLLOCK DDS INC
Practice address
3721 Roosevelt Blvd
Middletown, OH 45044-6514
Phone
(513) 423-9471
Fax
(513) 423-5116
NPI assigned
Apr 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Authorized official

Name
Dr. Michael John Pollock, D.D.S.
Title
Oral Maxillofacial Surgeon
Phone
(513) 423-9471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 30015504 OH Primary

Addresses

Primary practice location

3721 Roosevelt Blvd
Middletown, OH 45044-6514

Mailing address

3721 Roosevelt Blvd
Middletown, OH 45044
Phone (513) 423-9471

National Provider Directory

National Provider Directory

Locations

3721 Roosevelt Blvd
Middletown, OH 45044
Phone (513) 423-9471

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1144586496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 ROOSEVELT BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "45044",
            "telephone_number": "513-423-9471",
            "fax_number": "513-423-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 ROOSEVELT BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450446514",
            "telephone_number": "513-423-9471",
            "fax_number": "513-423-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J POLLOCK DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "POLLOCK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "ORAL MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "513-423-9471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30015504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.