Poller Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

D101432406 Issued in NJ

Legal business name

POLLER DENTAL GROUP

Practice address

470 Clifton Ave
Clifton, NJ 07011-3228

Phone

(973) 546-6977

Fax

(973) 253-8637

NPI assigned

Oct 17, 2006

Last updated

Aug 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard C Poller, DMD

Title

President

Phone

(973) 546-6977

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1467533638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07011",
            "telephone_number": "973-546-6977",
            "fax_number": "973-253-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113228",
            "telephone_number": "973-546-6977",
            "fax_number": "973-253-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLLER DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "POLLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-546-6977",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "D101432406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert Joseph Pogorelec Jr., D.O.
• Michael T. Pogorelec, D.C.
• Andrey Pogrebinskiy, DPT
• Elizabeth Polakoff, OD
• Diana Alexandra Polania, APN
• Enrique Polo Molina, OPAC
• Katherine Delaney Polos, M.S.,CCC-SLP
• Shira Pomrantz, LCSW
• Justin Charles Ponquinette, DMD
• Maria Lauren Pontoriero, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.