Theodore M Polansky DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15057 Issued in MD

Legal business name

THEODORE M POLANSKY DDS PC

Practice address

1233 Highland Avenue
Needham, MA 02492

Phone

(781) 444-2282

Fax

(781) 444-6237

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Theodore M Polansky, DDS

Title

President

Phone

(781) 444-2282

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417012964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 HIGHLAND AVENUE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "02492",
            "telephone_number": "781-444-2282",
            "fax_number": "781-444-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 HIGHLAND AVENUE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "02492",
            "telephone_number": "781-444-2282",
            "fax_number": "781-444-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE M POLANSKY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLANSKY",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-444-2282",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyne H Teres, MEDCCCSLP
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• Sher Thapa, MSW
• The Boston Foundation for Sight, Inc.
• Sally Theran
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• Caroline Anne Thies, PHD.
• Susan Tibeijuka, MSW
• Leah Bridget Tighe, M.S.

• General Practice Dentistry in Needham, MA
• Providers in Needham, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.