Ellen Polsky DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10757 Issued in WA

Legal business name

ELLEN POLSKY DDS

Practice address

9317 113TH St E Ste a
Puyallup, WA 98373-3876

Phone

(253) 848-7000

NPI assigned

Nov 8, 2010

Organization subpart

No

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

Authorized official

Name

Debbie Loree

Title

Practice Management

Phone

(503) 551-0865

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Polsky DDS Virk DMD Ms PS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Polsky DDS &Virk DMD Ms PS

  dba Dental Surgery Center of Auburn

  • Dental Clinic/Center
  • Auburn, WA
  • NPI 1437423928
  NPD tax ID

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1538460571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9317 113TH ST E STE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733876",
            "telephone_number": "253-848-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9317 113TH ST E STE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733876",
            "telephone_number": "253-848-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN POLSKY DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "LOREE",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "PRACTICE MANAGEMENT",
        "authorized_official_telephone_number": "503-551-0865"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "10757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1055311",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elevate Transformation Therapy & Associates, LLC
• Marina M Elgergawe, RPH
• Maha Mohamed Elhadidi, DDS
• Rockne K Eli
• Nikki N Ellah, RCMA
• Sandra Bee Ellingboe
• Heidi Dawn Elliott
• Ellis Chiropractic LLC
• Linda Sue Ellis, LMT
• Mitch Ellis, D.C.

• General Practice Dentistry in Puyallup, WA
• Providers in Puyallup, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.