Organization Active NPI

M Virk DMD Ms & E Polsky DDS, P.L.L.C

  • Pediatric Dentistry
  • Puyallup, WA
National Provider Identifier
1720912900
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
M VIRK DMD MS & E POLSKY DDS, P.L.L.C
Practice address
11201 88TH Ave E Ste 120
Puyallup, WA 98373-3802
Phone
(253) 864-9889
NPI assigned
Jun 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Ms. Rachelle Burgin
Title
VP of Operations
Phone
(253) 307-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

11201 88TH Ave E Ste 120
Puyallup, WA 98373-3802

Mailing address

11201 88TH Ave E Ste 120
Puyallup, WA 98373-3802

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1720912900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 88TH AVE E STE 120",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 88TH AVE E STE 120",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733802",
            "telephone_number": "253-864-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M VIRK DMD MS & E POLSKY DDS, P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "BURGIN",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "253-307-9300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.