Pooler Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

35647 Issued in CA

Legal business name

POOLER DENTAL CORPORATION

Practice address

66 San Pedro Rd Ste B
Daly City, CA 94014-2577

Phone

(650) 756-6968

Fax

(650) 756-9271

NPI assigned

Jan 2, 2008

Organization subpart

No

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

Authorized official

Name

Diane Marie Pooler, DDS

Title

Dentist

Phone

(650) 756-6968

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1164607792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 SAN PEDRO RD STE B",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940142577",
            "telephone_number": "650-756-6968",
            "fax_number": "650-756-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 SAN PEDRO RD STE B",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940142577",
            "telephone_number": "650-756-6968",
            "fax_number": "650-756-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POOLER DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "POOLER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "650-756-6968",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "35647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Aaron Plaut, M.D.
• Ilze Pleisa-Musaev
• Hema Pombra, DDS
• Margaret Louise Pomon, NP
• Kimberly Pon
• Diane Marie Pooler, DDS
• Charles Anthony Porta IV
• David A Portier, MD
• Laura A. Prager, MD
• Aria Prahlad

• Dental Clinic/Center in Daly City, CA
• Providers in Daly City, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.