DR. SAMUEL CHARLES POLLINA (NPI# 1427030287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427030287 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL CHARLES POLLINA |
| Credential | DMD |
| Practice Address |
1253 Scalp Ave Ste 105 Johnstown PA 15904 |
| Practice Telephone | 8142699731 |
| Practice Fax Number | 8142665881 |
| Mailing Telephone | 8142699731 |
| Mailing Fax Number | 8142665881 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS023871L | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 01551950 | 05 | |
| UPMC | 66823 | 01 | |
| PA | GATEWAY HEALTH PLAN | 244771 | 01 |
| PA | UNITED CONCORDIA | 446443 | 01 |
| THREE RIVERS MED PLUS | 67923 | 01 |
| Street Address |
1253 SCALP AVE STE 105 |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609289289 | New Dimension Dentistry | Durable Medical Equipment & Medical Supplies | 1253 Scalp Ave, Suite 105, Johnstown, PA 15904-3137 | 2014-06-11 |
| 1457778433 | New Dimension Dentistry & Orthodontics PC | Dentist | 1253 Scalp Ave, Suite 105, Johnstown, PA 15904-3137 | 2014-03-27 |
| 1255657565 | New Dimensions Dentistry and Orthodontics, P.C. | Dentist | 1253 Scalp Ave, Suite 105, Johnstown, PA 15904-3137 | 2010-04-12 |
| 1619942224 | Lexi M Boswell | Specialist/Technologist | 1253 Scalp Ave, Johnstown, PA 15904-3137 | 2006-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407368699 | Shari Mcclaren | Counselor | 1360 Eisenhower Blvd, Ste 404, Johnstown, PA 15904 | 2017-10-29 |
| 1881126928 | Pain Medicine of York, LLC | Anesthesiology | 136 Jaycee Dr Ste 10, Johnstown, PA 15904 | 2017-03-29 |
| 1841660750 | Danielle Nicole Malzi | Occupational Therapist | 222 Luray Avenue, Johnstown, PA 15904 | 2015-10-05 |
| 1710393715 | Dlp Conemaugh Physician Practices LLC | Internal Medicine | 622 Dermuth St., Johnstown, PA 15904 | 2014-07-10 |
| 1043582406 | Bonifacio Tan Aguilera | Family Medicine | 307 Terlyn Drive, Johnstown, PA 15904 | 2012-02-01 |
| 1508159021 | Patricia S Sauka | Social Worker | 865 Eisenhower Boulevard, Johnstown, PA 15904 | 2011-05-17 |
| 1962703520 | Nathaniel Brett Beatty | Audiologist-Hearing Aid Fitter | 141 Town Center Drive, Johnstown, PA 15904 | 2010-11-12 |
| 1831324607 | Medcare Equipment Company, LLC | Durable Medical Equipment & Medical Supplies | 150 Atlantic Street, Johnstown, PA 15904 | 2009-05-22 |
| 1467667766 | Mary Alice K Burtnett | Occupational Therapist | 345 Vo Tech Drive, Johnstown, PA 15904 | 2007-05-11 |
| 1871717280 | Beverly Janik | Counselor | 214 College Park Plaza, Johnstown, PA 15904 | 2007-04-13 |
| Find all providers in zip 15904 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215410949 | Kristen Mackenzie Goble | Dentist | 1433 Mary Dr, Johnstown, PA 15905-1945 | 2018-09-09 |
| 1417209479 | Cindy Wolt Inc | Dentist | 848 West Coshocton Street, Johnstown, OH 43031 | 2012-10-15 |
| 1548557689 | Roza Shayesteh | Dentist | 848 W Coshocton St, Johnstown, OH 43031-9587 | 2011-07-08 |
| 1396039285 | Matthew R Sroka | Dentist | 1736 Lyter Dr, Johnstown, PA 15905-1206 | 2011-06-08 |
| 1720273907 | Brian J Walsh | Dentist | 370 W Coshocton St, Johnstown, OH 43031-1113 | 2007-09-11 |
| 1982805180 | Jefrey Russell Jaicks | Dentist | 171 W Coshocton St, Johnstown, OH 43031-1108 | 2007-05-29 |
| 1003021734 | Gerald Lewis Fisher | Dentist | 2690 William Penn Ave, Suite 3, Johnstown, PA 15909-1029 | 2007-05-14 |
| 1376761924 | Steven L Martin | Dentist | 5 N. Parish Ave., Johnstown, CO 80534 | 2007-04-20 |
| 1639232564 | George Monios | Dentist | 121 Town Centre Dr, Johnstown, PA 15904-2824 | 2006-12-19 |
| 1548323389 | Jeffrey R Jaicks Dds LLC | Dentist | 171 W Coshocton Street, Johnstown, OH 43031 | 2006-12-19 |
| Find all providers in JOHNSTOWN | ||||
Please comment or provide details below to improve the information on DR. SAMUEL CHARLES POLLINA.
| 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.