KATHRYN POLYAKOV DMD PC (NPI# 1265580237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265580237 |
| Entity Type | Organization |
| Organization Name | KATHRYN POLYAKOV DMD PC |
| Other Organization Name | STAR SMILE |
| Practice Address |
377 Union Ave Framingham MA 01702-5852 |
| Practice Telephone | 5088720045 |
| Practice Fax Number | 5088794811 |
| Mailing Telephone | 5088720045 |
| Mailing Fax Number | 5088794811 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KATHRYN A. POLYAKOV (PRESIDENT) |
| Authorized Official Telephone | 5088720045 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223E0200X |
Dentist Specialization: Endodontics |
19569 | MA | Dental Providers |
| X | 1223G0001X |
Dentist Specialization: General Practice |
20584 | MA | Dental Providers |
| X | 1223P0300X |
Dentist Specialization: Periodontics |
13973 | MA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Star Smile | Doing Business As Name - Organization |
| Street Address |
377 UNION AVE |
| City | FRAMINGHAM |
| State | MA |
| Zip Code | 01702-5852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184883696 | Kathryn Alexandra Polyakov | Dentist | 377 Union Ave, Framingham, MA 01702-5852 | 2008-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720635295 | Astrid Bautista | Counselor | 345 Waverly Street, Framingham, MA 01702 | 2019-08-20 |
| 1598223588 | Roshini Mary Mathew | Counselor | 298 Howard Street Suite 100, Framingham, MA 01702 | 2019-03-08 |
| 1114401411 | Raquel Suzanne Martha Woodard | Social Worker | 475 Franklin St Suite 101 Adoption Choices, Framingham, MA 01702 | 2018-09-21 |
| 1457840720 | Randine Elizabeth Parry | Psychologist | 15 Cherry Oca Ln, Framingham, MA 01702 | 2018-05-02 |
| 1043707664 | Amanda Coughlin | Social Worker | 475 Franklin St Ste 101, Framingham, MA 01702 | 2018-04-19 |
| 1649799438 | Davis Square Dental Specialists LLC | Dentist | 509 Concord Street, Framingham, MA 01702 | 2017-09-13 |
| 1801315775 | Zahra Majidi | Developmental Therapist | Criterion, 651 Franklin St., Framimgham, MA 01702 | 2017-09-12 |
| 1356893119 | Angelic Love Home Care | Home Health | 47 Melen St, Framingham, MA 01702 | 2016-10-27 |
| 1598116634 | Katherine Mcclean | Nutritionist | 19 Linden St Apt D, Framingham, MA 01702 | 2016-06-30 |
| 1205282548 | Rafaela Dos Santos | Nurse Practitioner | 354 Waverly St., Framingham, MA 01702 | 2016-05-05 |
| Find all providers in zip 01702 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275649949 | H Robert Nagel Dds David A Cutrell Dmd Lisa M Wendell Dmd PC | Dentist | 55 Main Street, Framingham, MA 01702 | 2006-08-22 |
| 1144254699 | Alan Thanh Tang | Dentist | 405 Cochituate Rd Ste 304, Framingham, MA 01701-4648 | 2006-07-10 |
| 1154569804 | Endodontic Assoicates In Framingham, P.c | Dentist | 235 Walnut St, Suite #3, Framingham, MA 01702-7592 | 2009-02-02 |
| 1932398823 | Lisa M. Wendell | Dentist | 55 Main St, Framingham, MA 01702-2934 | 2007-10-17 |
| 1225224124 | Gregg M. Nagel | Dentist | 55 Main St, Framingham, MA 01702-2934 | 2007-09-25 |
| 1861688764 | Eugene Choi | Dentist | 55 Main St, Framingham, MA 01702-2934 | 2007-09-25 |
| 1053507954 | David A. Cutrell | Dentist | 55 Main St, Framingham, MA 01702-2934 | 2007-09-24 |
| 1568584274 | Marta Orrego Rafla | Dentist | 235 Walnut St, Framingham, MA 01702-7592 | 2007-04-04 |
| 1952423741 | Shepard S. Goldstein | Dentist | 235 Walnut St, Framingham, MA 01702-7592 | 2007-04-04 |
| 1245381540 | Thomas Ollerhead | Dentist | 405 Cochituate Rd, Suite 304, Framingham, MA 01701-4648 | 2007-01-15 |
| Find all providers in FRAMINGHAM | ||||
| City | FRAMINGHAM |
| Zip Code | 01702 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.