NPIMap

Organization Active NPI

Ginger M Pollack DMD PC

  • General Practice Dentistry
  • Bolton, CT
National Provider Identifier
1881748739
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8985 Issued in CT
Legal business name
GINGER M POLLACK DMD PC
Practice address
665 Boston Turnpike
Bolton, CT 06043
Phone
(860) 646-0773
Fax
(860) 647-6915
NPI assigned
Jan 22, 2007
Last updated
Mar 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Authorized official

Name
Ginger M Pollack, DMDNPI 1710251798
Title
President
Phone
(860) 646-0773

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8985 CT Primary

Addresses

Primary practice location

665 Boston Turnpike
Bolton, CT 06043

Mailing address

PO Box 9488
Bolton, CT 06043
Phone (860) 646-0773

National Provider Directory

National Provider Directory

Locations

665 Boston Tpke
Bolton, CT 06043
Phone (860) 646-0773

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1881748739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9488",
            "city": "BOLTON",
            "state": "CT",
            "postal_code": "06043",
            "telephone_number": "860-646-0773",
            "fax_number": "860-647-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 BOSTON TURNPIKE",
            "city": "BOLTON",
            "state": "CT",
            "postal_code": "06043",
            "telephone_number": "860-646-0773",
            "fax_number": "860-647-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINGER M POLLACK DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "POLLACK",
        "authorized_official_first_name": "GINGER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-646-0773",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "8985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.