Provider Demographics
NPI:1760528236
Name:POLLICK, HOWARD FRANKLIN (BDS, MPH)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:FRANKLIN
Last Name:POLLICK
Suffix:
Gender:M
Credentials:BDS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 GRANT ST
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94703-1318
Mailing Address - Country:US
Mailing Address - Phone:510-848-7658
Mailing Address - Fax:
Practice Address - Street 1:707 PARNASSUS AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2210
Practice Address - Country:US
Practice Address - Phone:415-476-3028
Practice Address - Fax:415-476-0858
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA232631223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health