George Francis Policastro Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN008074 Issued in GA

Practice address

2853 Candler Rd
Suite 101
Decatur, GA 30034-1433

Phone

(404) 244-1166

Fax

(404) 244-1191

NPI assigned

Jan 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Dekalb Dental Center LLC

  • Point of Service
  • Decatur, GA
  • NPI 1386795805
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982756672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2853 CANDLER RD",
            "address_2": "SUITE 101",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341433",
            "telephone_number": "404-244-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2853 CANDLER RD",
            "address_2": "SUITE 101",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341433",
            "telephone_number": "404-244-1166",
            "fax_number": "404-244-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLICASTRO",
        "first_name": "GEORGE",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN008074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PMR Georgia Holding, LLC (Jencare Senior Medical Center Belvedere)
• Podiatric Physicians of Georgia PC
• Hannah Poe, PT, DPT
• Polascik LLC
• Christopher Polascik
• Reynaldo Antoine Polk, M.D
• Deborah C Pollack, MD
• Lori A Pollack, M.D., M.P.H.
• Christina B Pollard, LPC
• Megan Pollard

• General Practice Dentistry in Decatur, GA
• Providers in Decatur, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.