Provider Demographics
NPI:1164550968
Name:GEORGE D. POLLARD, DDS, P.C.
Entity Type:Organization
Organization Name:GEORGE D. POLLARD, DDS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:DANDRIDGE
Authorized Official - Last Name:POLLARD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-466-7300
Mailing Address - Street 1:88 LAMAR ST STE 108
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-2499
Mailing Address - Country:US
Mailing Address - Phone:303-466-7300
Mailing Address - Fax:303-466-0602
Practice Address - Street 1:88 LAMAR ST STE 108
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-2499
Practice Address - Country:US
Practice Address - Phone:303-466-7300
Practice Address - Fax:303-466-0602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO51661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty