NPI 1134078454 · live from the CMS NPI Registry
Amanda Romsa Polack, DMD, Ms, PC
Dentist, Orthodontics and Dentofacial Orthopedics in Washington, DC. National Provider Identifier 1134078454, active.
NPI record
| NPI | 1134078454 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 4900 Massachusetts Ave Nw Ste 260, Washington, DC 20016 |
| Practice phone | 771-210-3484 |
| Enumerated | January 28, 2026 |
| Last updated | January 28, 2026 |
| Authorized official | Cassandra Wieth, Director Of Payor Relations |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.