Jerrold J. Pollack,D.D.S.,P.a

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3810 Issued in MD

Legal business name

JERROLD J. POLLACK,D.D.S.,P.A

Practice address

1133 Keswick PL
Frederick, MD 21703-6168

Phone

(301) 694-9655

NPI assigned

Aug 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jerrold Jerome Pollack, D.D.S.NPI 1134143241

Title

President-Owner

Phone

(301) 694-9655

Specialties & licenses 1

Addresses

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.

• Jerrold Jerome Pollack, DDS RPH

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Baltimore, MD
  • NPI 1134143241
  NPD (past) Authorized official

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952312209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 WOODLYN CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217036963",
            "telephone_number": "301-371-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 KESWICK PL",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217036168",
            "telephone_number": "301-694-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERROLD J. POLLACK,D.D.S.,P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLLACK",
        "authorized_official_first_name": "JERROLD",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "301-694-9655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "3810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keli Jensen, MS CCC-SLP
• Tracy Jensen
• Matthew James Jepson, M.D., M.S.
• Michelle Lynn Jeram, PT
• Noelly Jerez
• Tyler Merritt Jessee
• Jessie Davis, LLC
• Alexa Jo Jessop, LMSW
• Jewel Healthcare Services Inc.
• Jim Rose, LCPC, LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Frederick, MD
• Providers in Frederick, MD by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.