Active NPI
DRS. Polack and Olano, PC
- General Practice Dentistry
- Gainesville, VA
National Provider Identifier
1700060712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0186
- Legal business name
- DRS. POLACK AND OLANO, PC
- Practice address
- 7431 New Linton Hall Rd
Gainesville, VA 20155 - Phone
- (703) 753-8753
- NPI assigned
- Dec 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mariano Andres Polack, DDS, MS
- Title
- Shareholder
- Phone
- (703) 753-8753
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0186 | VA | Primary |
| Prosthodontics | 1223P0700X | 0556 | VA |
Addresses
Primary practice location
7431 New Linton Hall Rd
Gainesville, VA 20155
Mailing address
7431 New Linton Hall Rd
Gainesville, VA 20155
Phone (703) 753-8753
National Provider Directory
National Provider DirectoryLocations
7431 Linton Hall Rd
Gainesville, VA 20155
Phone (703) 753-8753
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthodontics
- Gainesville, VA
- NPI 1679773188
-
- General Practice Dentistry
- Gainesville, VA
- NPI 1538351853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198713600000",
"number": "1700060712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7431 NEW LINTON HALL RD",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "20155",
"telephone_number": "703-753-8753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7431 NEW LINTON HALL RD",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "20155",
"telephone_number": "703-753-8753"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS. POLACK AND OLANO, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-27",
"last_updated": "2007-12-27",
"status": "A",
"authorized_official_last_name": "POLACK",
"authorized_official_first_name": "MARIANO",
"authorized_official_middle_name": "ANDRES",
"authorized_official_title_or_position": "SHAREHOLDER",
"authorized_official_telephone_number": "703-753-8753",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS, MS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0186",
"primary": true
},
{
"code": "1223P0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": "VA",
"license": "0556",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.