| Theodore M Polansky DDS PC | |
|
1233 Highland Avenue Needham MA 02492 | |
| (781) 444-2282 | |
| (781) 444-6237 |
| Full Name | Theodore M Polansky DDS PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1233 Highland Avenue, Needham, Massachusetts |
| Authorized Official Name and Position | Theodore M Polansky (PRESIDENT) |
| Authorized Official Contact | 7814442282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore M Polansky DDS PC 1233 Highland Avenue Needham MA 02492 Ph: (781) 444-2282 | Theodore M Polansky DDS PC 1233 Highland Avenue Needham MA 02492 Ph: (781) 444-2282 |
| NPI Number | 1417012964 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417012964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 15057 (Maryland) | Primary |
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