Samuel Charles Pollina, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS023871L Issued in PA

Practice address

1253 Scalp Ave
Ste 105
Johnstown, PA 15904

Phone

(814) 269-9731

Fax

(814) 266-5881

NPI assigned

Nov 17, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Dimension Dentistry

  dba Western Pennsylvania Dental Sleep Medicine

  • Customized Equipment (DME)
  • Johnstown, PA
  • NPI 1609289289
  NPD (past) Authorized official
• New Dimension Dentistry & Orthodontics PC

  dba Western Pennsylvania Dental Sleep Medicine

  • Dentist
  • Johnstown, PA
  • NPI 1457778433
  Authorized official Same address or phone
• New Dimensions Dentistry and Orthodontics, P.C.

  • Dentist
  • Johnstown, PA
  • NPI 1255657565
  NPD (past) Authorized official
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1427030287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 SCALP AVE",
            "address_2": "STE 105",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "15904",
            "telephone_number": "814-269-9731",
            "fax_number": "814-266-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 SCALP AVE",
            "address_2": "STE 105",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "15904",
            "telephone_number": "814-269-9731",
            "fax_number": "814-266-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLINA",
        "first_name": "SAMUEL",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS023871L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01551950",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "244771",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "66823",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THREE RIVERS MED PLUS",
            "identifier": "67923",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "446443",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael Podgorney, LCSW
• Kevin Podolak
• Sydney Ragan Podrebarac
• Joseph R Polito, MD
• Mary Zemyan Polito, CRNP
• Annette Pollino Vamos, LPC
• Ashley Danielle Pollino, PA-C
• Neely Jo Polo, PHARMD
• Chelsa A Polonia, PA-C
• Poolaide System

• Dentist in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.