JERROLD J. POLLACK,D.D.S.,P.A (NPI# 1952312209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952312209 |
Entity Type | Organization |
Organization Name | JERROLD J. POLLACK,D.D.S.,P.A |
Practice Address |
1133 Keswick Pl Frederick MD 21703-6168 |
Mailing Address |
5405 Woodlyn Ct Frederick MD 21703-6963 |
Practice Telephone | 3016949655 |
Mailing Telephone | 3013717730 |
Enumeration Date | 2006-08-11 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. JERROLD JEROME POLLACK (PRESIDENT-OWNER) |
Authorized Official Telephone | 3016949655 |
Authorized Official Credential | D.D.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
3810 | MD | Dental Providers |
Street Address |
1133 KESWICK PL |
City | FREDERICK |
State | MD |
Zip Code | 21703-6168 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861902959 | Kenny Chen | Optometrist | 5283 Corporate Dr Ste 201, Frederick, MD 21703 | 2017-10-03 |
1578934550 | Barbara Tarlowski | Physical Therapy Assistant | 347 Ballenger Center Drive, Frederick, MD 21703 | 2015-10-15 |
1679958813 | Taiji Acupuncture Clinic | Community Based Residential Treatment Facility, Mental Illness | 1411 Bluewing Ct, Frederick, MD 21703 | 2015-07-29 |
1609283050 | Green Ridge Behavioral Health, LLC | Psychiatry & Neurology | 5216 Chairmans Court, Suite 102, Frederick, MD 21703 | 2014-07-17 |
1841597705 | Jennifer Anne Dye | Speech-Language Pathologist | 5312 Ballenger Creek Pike, Frederick, MD 21703 | 2011-02-11 |
1568794790 | Andersons Community Healthcare Services Inc | Nursing Care | 4727 Verdana Loop, Frederick, MD 21703 | 2010-02-15 |
1962672782 | Service Coordination Inc | Case Management | 5303 Spectrum Drive, Suite I, Frederick, MD 21703 | 2008-03-07 |
1396877189 | Health and Happiness LLC | Psychologist | 93 S Mccain Drive, Frederick, MD 21703 | 2007-03-09 |
1275629776 | Mary Bernadette Sheehy | Nurse Practitioner | Fmh Wellness Center 5500 Buckeystown Pike, Corpohs Prospect Plaza, Frederick, MD 21703 | 2006-10-04 |
1720185218 | Rea and Derick Inc P 1835 | Pharmacy | 5500 Buckeystown Pk Frcs Sct Key Mall, Frederick, MD 21703 | 2006-09-19 |
Find all providers in zip 21703 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245716232 | Tj Orthodontics | Dentist | 198 Thomas Johnson Dr Ste 103, Frederick, MD 21702-4432 | 2018-07-13 |
1114388469 | Stanley Jay Robison | Dentist | 2090 Old Farm Dr Ste F, Frederick, MD 21702-5404 | 2016-03-15 |
1891948709 | Rosanne M. Bloom | Dentist | 130 Thomas Johnson Dr., Suite 2, Frederick, MD 21702-4582 | 2008-10-23 |
1770707390 | Robert Cina | Dentist | 100 Tuscanny Dr, Suite D, Frederick, MD 21702-5958 | 2007-04-13 |
1225155583 | Jon Arthur Moles | Dentist | 3549 Urbana Pike, Frederick, MD 21704-7741 | 2007-03-23 |
1912039769 | Christopher Joseph Mctavish | Dentist | 3500 Campus Dr, Suite 104, Frederick, MD 21704-7922 | 2007-03-09 |
1427102961 | Bloom & Reddy Dds PC | Dentist | 130 Thomas Johnson Drive, Suite 2, Frederick, MD 21702-4582 | 2007-01-22 |
1164509022 | Charles Jeffrey Bowman | Dentist | 10 W College Ter, Suite 240, Frederick, MD 21701-4909 | 2006-10-31 |
1962519090 | Lobat Zainali | Dentist | 490 Prospect Blvd., Suite#c, Frederick, MD 21701 | 2006-08-24 |
1669007993 | Frederick Orthodontics Associates LLC | Dentist | 52 Thomas Johnson Dr, Frederick, MD 21702-4501 | 2020-03-06 |
Find all providers in FREDERICK |
Please comment or provide details below to improve the information on JERROLD J. POLLACK,D.D.S.,P.A.
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.