Polido Professional Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

POLIDO PROFESSIONAL DENTAL CORPORATION

Practice address

4650 W Sunset Blvd
Los Angeles, CA 90027-6062

Phone

(323) 669-4131

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Jose Polido, DDS

Title

DDS

Phone

(323) 669-2453

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548472772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 W SUNSET BLVD",
            "address_2": "SUITE600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287901",
            "telephone_number": "323-669-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276062",
            "telephone_number": "323-669-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLIDO PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLIDO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "323-669-2453",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Polee
• Muriel Yarnick Poli, DC
• Gabriel Poliboy, M.D.
• Melissa Poliboy, M.D.
• Laura Policarpo Hernandez, MSW, ACSW
• Jose Carlos Daudt Polido, DDS
• Kristel Rei M Polintan
• Nicole Poliquin, M.D.
• Seth Politano, D.O.
• Delores Genise Polite

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.