KATHRYN POLYAKOV DMD PC NPI 1265580237

NPI Information

  • NPI: 1265580237
  • Provider Name: KATHRYN POLYAKOV DMD PC
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Organization
  • Doing Business As: STAR SMILE
  • Address: 615 CONCORD ST STE 1
    FRAMINGHAM, MA
    ZIP 01702
  • Phone: (508) 872-0045

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NPI Details

KATHRYN POLYAKOV DMD PC is an endodontics dentist in Framingham, MA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. KATHRYN POLYAKOV DMD PC NPI is 1265580237. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Star Smile.

The provider's business location address is:

615 CONCORD ST STE 1
FRAMINGHAM, MA
ZIP 01702-066
Phone: (508) 872-0045
Fax: (508) 281-1406

The provider's authorized official is Kathryn Alexandra Polyakov .
The authorized official title is Dentist/owner and has the following contact phone number (508) 872-0045.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 5/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodontics19569MASSACHUSETTSYes
21223G0001XDentistGeneral Practice20584MASSACHUSETTSNo
31223P0300XDentistPeriodontics13973MASSACHUSETTSNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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