Dawn M Poli, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02416200 Issued in NJ

Practice address

1 Professional Quadrangle
Sparta, NJ 07871-2330

Phone

(973) 729-7100

NPI assigned

Jul 21, 2009

Last updated

Jul 21, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1306076617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ALADDIN TRL",
            "city": "ANDOVER",
            "state": "NJ",
            "postal_code": "078212931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PROFESSIONAL QUADRANGLE",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712330",
            "telephone_number": "973-729-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLI",
        "first_name": "DAWN",
        "middle_name": "M",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02416200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Pinto, CALA
• Melissa Pirnos
• David Pisani, R.N.
• Maria Pisani, LPC, LCADC
• Philip John Pistolas, DDS
• Jeanette Marie Porter, PHYSICIAN ASSISTANT
• Maryann Lane Porter, MSW, LCSW
• Powerback Rehabilitation LLC (Powerback Rehabilitation)
• Precision Dental Sleep Therapy LLC
• Premier Health Associates, LLC

• Dentist in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.