Grace I Polo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

004550 Issued in OH

Practice address

5969 E Broad St Ste 303
Columbus, OH 43213-1539

Phone

(514) 626-8822

NPI assigned

Sep 23, 2022

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

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1841913985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6981 HUMMOCK POND",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430687121",
            "telephone_number": "305-370-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5969 E BROAD ST STE 303",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131539",
            "telephone_number": "514-626-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLO",
        "first_name": "GRACE",
        "middle_name": "I",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "004550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quiana Dawn Pollock, MD
• Raphael E. Pollock, M.D., PHD
• Sue Ellen Pollock, OTRL
• Jacqueline Pollok, LPCC, LICDC
• Edward J Pollyea, MD
• Danilo Polonia, MD
• Megan Roberta Polonsky, PA-C
• Ann Marie Polovick, MA, CCC-SLP
• L. Robert Polster, M.D.
• Lauren Polster

• General Practice Dentistry in Columbus, OH
• Providers in Columbus, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.