Ellen Polsky, DDS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ELLEN POLSKY, DDS

Practice address

15819 Westminster Way N
Shoreline, WA 98133-5928

Phone

(206) 486-8068

NPI assigned

Sep 15, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Ellen B Polsky, DDS

Title

Owner

Phone

(206) 486-8068

Specialties & licenses 1

Addresses

Other names 1

• Floss and Gloss Kids Dentistry Doing business as

Locations

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1447972567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10317 122ND ST E STE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983742632",
            "telephone_number": "206-486-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15819 WESTMINSTER WAY N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981335928",
            "telephone_number": "206-486-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN POLSKY, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "POLSKY",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-486-8068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Floss and Gloss Kids Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas Benjamin Eakin, P.T.A.
• Kara R Edson, MS, LMHC
• Lexus Michelle Edwards
• Efl Education
• Carolyn Egan, L.AC
• Marla Jeanine Ellingsen-Totah, OTR
• Steve Elliott, CP 60398754
• Mary Eden Ellis
• Ana Francia Emenhiser
• Unknown Emenke, N.D., LMP MMP EFT-CC

• Dental Clinic/Center in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.