Provider Demographics
NPI:1427362813
Name:POLINSKY, JENNA LEIGH (DDS)
Entity Type:Individual
Prefix:DR
First Name:JENNA
Middle Name:LEIGH
Last Name:POLINSKY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 MARTINE AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-3459
Mailing Address - Country:US
Mailing Address - Phone:914-684-2244
Mailing Address - Fax:
Practice Address - Street 1:300 MARTINE AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-3459
Practice Address - Country:US
Practice Address - Phone:914-684-2244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-28
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055679122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist