Ellen Polsky Dds

LBN: Ellen Polsky Dds
Ellen Polsky Dds is an health care organization with primary practice located at 9317 113Th St E Ste A , Puyallup WA 98373-3876. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Ellen Polsky Dds can be contacted via phone (253) 848-7000, or through Loree, Debbie via phone (503) 551-0865.

Contact Information

Primary practice address
9317 113Th St E Ste A Puyallup WA 98373-3876
Fax:
Website:
Authorized official contact:
Name: Loree, Debbie

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10757 Washington

Profile Details

NPI number 1538460571
LBN Legal business name Ellen Polsky Dds
DBA Doing business as
Authorized official Loree, Debbie
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2010
Last updated Nov 8th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538460571 NPPES
Washington MEDICAID 1055311

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