DR. ALEJANDRA NATHALIE POLANCO (NPI# 1487181541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487181541 |
Entity Type | Individual |
Full Name | DR. ALEJANDRA NATHALIE POLANCO |
Credential | DDS |
Practice Address |
10909 W Linebaugh Ave Ste 102 Tampa FL 33626-1741 |
Practice Telephone | 8137746003 |
Mailing Telephone | 8137746003 |
Enumeration Date | 2017-05-18 |
Last Update Date | 2019-12-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN23280 | FL | Dental Providers |
N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
100148515 | WI | Dental Providers |
Address | Telephone Number | Fax Number |
---|---|---|
526 S Monroe Ave, Green Bay, WI 543014018 | 9209650831 | |
2247 Fox Heights Ln, Green Bay, WI 543044747 | 9209650831 | |
601 S Florida Ave, Lakeland, FL 338015237 | 8636880841 |
Street Address |
10909 W LINEBAUGH AVE STE 102 |
City | TAMPA |
State | FL |
Zip Code | 33626-1741 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215421540 | Tampa Childrens Surgery Center LLC | Clinic/Center | 10909 W Linebaugh Ave Ste 102, Tampa, FL 33626-1741 | 2018-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063028447 | Ezphyzio Pllc | Physical Therapist | 11269 Windsor Place Circle, Tampa, FL 33626 | 2020-09-21 |
1831737451 | Emily Anne Desarden | Behavior Technician | 8001 Beaty Gorove Dr., Tampa, FL 33626 | 2019-12-13 |
1730747395 | Michael A. Pikos, Dds Pa | Oral & Maxillofacial Surgery | 11940 Sheldon Road, Tampa, FL 33626 | 2019-05-30 |
1659841229 | Mariana Alejandra Salgado | Behavior Technician | 8001 Beaty Grove Drive, Tampa, FL 33626 | 2018-11-27 |
1528563525 | Amanda Ashley Metzger | Chiropractor | 8377 Gunn Hwy, Tampa, FL 33626 | 2018-03-29 |
1568971844 | Lindsey Nicole Miller | Behavior Technician | 12725 Race Track Rd Bldg 5, Tampa, FL 33626 | 2017-09-29 |
1003335571 | Tampa Life Counseling, LLC | Counselor | 13035 W. Linebaugh Ave #101 Ste G, Tampa, FL 33626 | 2017-09-15 |
1033635149 | Peak Payer Solutions, Inc. | General Practice | 12332 Race Track Road, Tampa, FL 33626 | 2017-08-21 |
1578098414 | Alexis Brooke Cross | Speech-Language Pathologist | 11672 Crowned Sparrow Ln, Tampa, FL 33626 | 2017-04-28 |
1568904084 | Megan Krone | Assistant Behavior Analyst | 2725 Race Track Rd Building Number 5, Westchase, FL 33626 | 2016-11-15 |
Find all providers in zip 33626 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124497821 | Chelsea Monteleone | Dentist | 3806 W Linebaugh Ave, Tampa, FL 33618-8702 | 2015-09-23 |
1093198160 | Mi Ae Kwon | Dentist | 3739 W. Neptune St., Tampa, FL 33629 | 2015-07-07 |
1689084162 | Christina Makram | Dentist | 13027 W Linebaugh Ave Ste 102, Tampa, FL 33626-4477 | 2014-05-05 |
1902242431 | Farnaz Adibi | Dentist | 3942 Britton Plz, Tampa, FL 33611-1408 | 2013-05-10 |
1215146493 | Ana Marai Vales | Dentist | 1540 S Dale Mabry Hwy, Tampa, FL 33629-5842 | 2007-05-22 |
1407923154 | Dr Duga, Dr Feeney & Associates | Dentist | 15293 Amberly Dr, Tampa, FL 33647 | 2006-11-29 |
1255420642 | Erika Sue Pettinato | Dentist | 14497 N Dale Mabry Hwy, Suite 100, Tampa, FL 33618-2047 | 2006-10-12 |
1043310204 | Dwight E. Sanjuan | Dentist | 6532 Gunn Hwy, Tampa, FL 33625-4022 | 2006-09-25 |
1093816928 | Robyn Britt Lesser | Dentist | 6415 Sheldon Rd, Tampa, FL 33615-3102 | 2006-09-25 |
1972601920 | Marta M Rivera | Dentist | 5326 Primrose Lake Cir, Tampa, FL 33647-3589 | 2006-09-20 |
Find all providers in TAMPA |
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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.