NPI 1730494147 · live from the CMS NPI Registry
Amanda Romsa Polack, DMD, MS
Dentist, Orthodontics and Dentofacial Orthopedics in Washington, DC. National Provider Identifier 1730494147, active.
NPI record
| NPI | 1730494147 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 700 Pennsylvania Ave Se Ste 370, Washington, DC 20003 |
| Practice phone | 202-899-5529 |
| Enumerated | August 10, 2010 |
| Last updated | June 11, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 019.028461 (IL) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DEN1001493 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.