Olga L Povolotskaia, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

21439 Issued in MA

Practice address

714 Massachusetts Ave
Cambridge, MA 02139-3308

Phone

(617) 868-9400

NPI assigned

Aug 25, 2007

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Square Family Dental PC

  • General Practice Dentistry
  • Cambridge, MA
  • NPI 1407907249
  NPD (past)
• Springfield Family Dental PC

  • Dental Clinic/Center
  • Cambridge, MA
  • NPI 1861116998
  NPD (past)

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

{
    "created_epoch": "1188000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267142400000",
    "number": "1699968388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 MASSACHUSETTS AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393308",
            "telephone_number": "617-868-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 MASSACHUSETTS AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393308",
            "telephone_number": "617-868-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POVOLOTSKAIA",
        "first_name": "OLGA",
        "middle_name": "L",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-25",
        "last_updated": "2010-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "21439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Potter, MD
• Colette Potts, LMFT
• Marianne F Potvin, LICSW
• Jeana Poulin, OTR
• Liat Poupko, MD
• Powell Acqusition Company (Powell & Wagner Associates, Inc.)
• Brandon Powell
• Linda Marie Powell
• Mackenzie Kate Powell, CNM
• David G. Power, PH.D.

• Dentist in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.