Organization Active NPI

Valerie C. Pollock, D.D.S., P.a.

  • General Practice Dentistry
  • Burgaw, NC
National Provider Identifier
1992881254
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7419 Issued in NC
Legal business name
VALERIE C. POLLOCK, D.D.S., P.A.
Practice address
302 S Bennett St
Burgaw, NC 28425-0874
Phone
(910) 259-2053
Fax
(910) 259-2057
NPI assigned
Oct 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Dr. Valerie C Pollock, D.D.S.NPI 1013074020
Title
Dentist
Phone
(910) 259-2053

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7419 NC Primary
Customized Equipment (DME) 332BC3200X 7419 NC

Addresses

Primary practice location

302 S Bennett St
Burgaw, NC 28425-0874

Mailing address

PO Box 874
Burgaw, NC 28425-0874
Phone (910) 259-2053

Other identifiers 3

IdentifierTypeStateIssuer
89902E7MedicaidNC
016FYOtherNCBCBS OF NORTH CAROLINA #
1642657OtherNCUNITED CONCORDIA PROVIDER

National Provider Directory

National Provider Directory

Locations

302 S Bennett St
Burgaw, NC 28425
Phone (910) 259-2053

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1992881254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 874",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284250874",
            "telephone_number": "910-259-2053",
            "fax_number": "910-259-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S BENNETT ST",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284250874",
            "telephone_number": "910-259-2053",
            "fax_number": "910-259-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALERIE C. POLLOCK, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-30",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "POLLOCK",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "910-259-2053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7419",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": "7419",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902E7",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NORTH CAROLINA #",
            "identifier": "016FY",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "1642657",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burgaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.