ELLEN POLSKY DDS AND BOBBY VIRK DMD, PS


Address: 34704 11th Pl S Ste 101, Federal Way, WA 98003-8730
Phone: 2539465322

ELLEN POLSKY DDS AND BOBBY VIRK DMD, PS (NPI# 1528603503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528603503
Entity Type Organization
Organization Name ELLEN POLSKY DDS AND BOBBY VIRK DMD, PS
Practice Address 34704 11th Pl S Ste 101
Federal Way
WA 98003-8730
Mailing Address 9317 113th St E Ste A
Puyallup
WA 98373-3876
Practice Telephone 2539465322
Practice Fax Number 2534466138
Mailing Telephone 2538487000
Mailing Fax Number 2534466138
Enumeration Date 2019-11-13
Last Update Date 2019-11-13
Authorized Official Name XENIA I YORK (OPERATIONS MANAGER)
Authorized Official Telephone 2538487000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
Dental Providers

Other Provider/Organization Names

Other Name Type Code
ADC KIDS DENTISTRY Doing Business As Name - Organization

Office Location

Street Address 34704 11TH PL S STE 101
City FEDERAL WAY
State WA
Zip Code 98003-8730

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124634969 Jossie Jeniffer Wong-vicuna Interpreter 3001 S 288th Street, 201, Ferderal Way, WA 98003 2020-09-17
1336642420 Otto Family Massage Therapist 720 S 348th St Ste A-1b, Federal Way, WA 98003 2018-03-14
1962912709 Lindsay Plumley Occupational Therapist 33330 8th Avenue S, Federal Way, WA 98003 2017-10-06
1861922387 Sea Mar Community Health Centers Pharmacy 31405 18th Ave South, Federal Way, WA 98003 2017-06-18
1023547072 Iora Health Washington Physicians, P.C. Internal Medicine 1414 S. 324th Street, Federal Way, WA 98003 2017-06-05
1811346869 Iora Senior Health Inc Internal Medicine 1414 S 324th St, Federal Way, WA 98003 2016-06-10
1972958940 Kathy Marie Haviland Registered Nurse 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 2016-04-27
1972969343 Jacklyn Marie James Specialist 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 2016-01-14
1659767036 Jillian Liner Pediatrics 34503 9th Ave S Ste 220, Federal Way, WA 98003 2015-04-12
1235537739 Simranjit Singh Longia Student in an Organized Health Care Education/Training Program 34618 11th Ave. S., Suite 100, Federal Way, WA 98003 2014-12-15
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861999864 Peter Douglas Dentist 32105 1st Ave S Ste B3, Federal Way, WA 98003-5719 2018-04-07
1992850234 Sidney R Gallegos Dds Dentist 926 S 348th St, Federal Way, WA 98003-7021 2007-01-25
1669548103 Sidney R Gallegos Dentist Sidney R Gallegos Dds Ps, 926 S 348th, Federal Way, WA 98003 2006-11-27
1386923399 Caroline Susan Teel Shaw Dentist 2317 Sw 320th St, Federal Way, WA 98023-2567 2011-08-08
1134417017 Loan Thi Nguyen Dentist 34700 11th Pl S, Federal Way, WA 98003 2011-07-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740807890 Plateau Kids Dentistry, LLC Dentist 2912 228th Ave Se Ste A, Sammamish, WA 98075-9305 2020-07-05
1942843552 Laura Stewart Dds Pllc Dentist 6821 Ne 181st St, Kenmore, WA 98028-5034 2019-10-26
1639736119 Southcenter Children's Dentistry Dentist 411 Strander Blvd Ste 303, Tukwila, WA 98188-2924 2019-05-21
1770147001 Kaitlin Neste Pllc Dentist 360 Tormey Ln Ne Ste 198, Bainbridge Island, WA 98110-1990 2019-04-22
1124511126 Roger Lucas, P.s. Dentist 3806 116th St. Ne, Marysville, WA 98271 2018-06-13
1497248017 Jinju Song Dmd Pllc Dentist 9707 Ne 119th Way, Kirkland, WA 98034-8955 2018-06-08
1669994042 Annikka Louise Frostad-thomas Dentist 700 Nw Gilman Blvd # E412, Issaquah, WA 98027-5395 2017-07-07
1831624402 Minh Dau, Dds and Raymond Park, Dds Pllc Dentist 3105 Alderwood Mall Blvd, Suite 117, Lynnwood, WA 98036-4703 2017-04-20
1306370572 Sonu Lamba and Paul S Kahlon, Ps Dentist 13209 44th Ave Se, Mill Creek, WA 98012-8985 2017-04-14
1982057030 Jenn-yih Lin Dds Ms Pllc Dentist 10202 5th Ave Ne Ste 101, Seattle, WA 98125-7472 2016-07-13
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Competitor

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City FEDERAL WAY
Zip Code 98003

Improve Information

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Dataset Information

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.

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