Polish Dental Center Midtown

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

POLISH DENTAL CENTER MIDTOWN

Practice address

587 Virginia Ave NE Unit 5
Atlanta, GA 30306-3695

Phone

(404) 389-0700

NPI assigned

Sep 14, 2020

Organization subpart

No

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

Authorized official

Name

Tiffany Jamison, DDSNPI 1063688349

Title

Owner

Phone

(202) 714-8433

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.

• Tiffany N. Jamison, DDS

  • Dentist
  • Los Angeles, CA
  • NPI 1063688349
  NPD Authorized official

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1972118123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "692 LONDONBERRY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 VIRGINIA AVE NE UNIT 5",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063695",
            "telephone_number": "404-389-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLISH DENTAL CENTER MIDTOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-714-8433",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polaris Spine & Neurosurgery Center PC
• Nisha Polavarapu, M.D.
• Sharon Hartman Polensek, MD., PHD
• Natalie Poliektov, DO
• Karunesh Polireddy
• Carmen Christina Polito, MD
• Victor G Polizos, M.D.
• Gary Edward Polizzotto, DC
• Donna M Polk, DC
• Jeffrey Polk

• Public Health Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Public Health Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.