Polished Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

POLISHED PEDIATRIC DENTISTRY

Practice address

13772 Old FM 471 W # 304
San Antonio, TX 78253-2001

Phone

(210) 200-3008

Fax

(210) 200-3009

NPI assigned

Apr 2, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Nancy Ly, DDSNPI 1134743990

Title

Pediatric Dentist

Phone

(210) 200-3008

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.

• Nancy Dinh Ly, DDS

  • Pediatric Dentistry
  • Bossier City, LA
  • NPI 1134743990
  NPD Authorized official

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

{
    "created_epoch": "1775088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1245171404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13772 OLD FM 471 W # 304",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782532001",
            "telephone_number": "210-200-3008",
            "fax_number": "210-200-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13772 OLD FM 471 W # 304",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782532001",
            "telephone_number": "210-200-3008",
            "fax_number": "210-200-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLISHED PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "210-200-3008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Rose Polczynski, DMD
• Candy Angelita Polendo, RN
• Clinton D. Polhamus, M.D.
• Ekaterina Michaela Polinski, LPMHCA
• Brian D Poliquin, PA-C
• Kennie T Polit, LPC
• Viktor Polivka
• Brittany Megan Polk, OTR
• Henry Lysell Polk Jr., M.D.
• Patrick Brian Polk, RN

• Pediatric Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.