Provider Demographics
NPI:1578916318
Name:POLINSKY, ADAM SAMUEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:SAMUEL
Last Name:POLINSKY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:823 E MAIN ST
Mailing Address - Street 2:APARTMENT 501
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-3310
Mailing Address - Country:US
Mailing Address - Phone:314-276-3885
Mailing Address - Fax:
Practice Address - Street 1:521 N 12TH ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5013
Practice Address - Country:US
Practice Address - Phone:804-828-2977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-17
Last Update Date:2016-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0442000285122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist