Gabriella Rae Polesky, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS044001 Issued in PA

Practice address

1075 Berkshire Blvd Ste 950
Wyomissing, PA 19610-1264

Phone

(610) 678-2175

NPI assigned

Mar 8, 2023

Sex

Female

Sole proprietor

No

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": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1447950324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 WHEATLAND ST APT 311",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194605362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 BERKSHIRE BLVD STE 950",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101264",
            "telephone_number": "610-678-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLESKY",
        "first_name": "GABRIELLA",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS044001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Anthony Pinelli, D.O.
• Margaret A. Pizarro, CRNP
• Podiatry Associates Group LTD
• Albert Vincent Pohl X, LPC
• Michele A. Pole, PH.D.
• Ronald J Polinsky Jr., MD
• Klara Ann Politanoff
• Frank E Politzer, MD
• Francesca Pollari
• Jonell Pollarine, ATC

• General Practice Dentistry in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.