Provider Demographics
NPI:1457871758
Name:JAMES R POLLARD DDS INC
Entity Type:Organization
Organization Name:JAMES R POLLARD DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:POLLARD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:909-576-2223
Mailing Address - Street 1:290 W ORANGE SHOW RD STE 105
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-3345
Mailing Address - Country:US
Mailing Address - Phone:909-567-2223
Mailing Address - Fax:909-567-2149
Practice Address - Street 1:290 W. ORANGE SHOW RD.
Practice Address - Street 2:SUITE 105
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408
Practice Address - Country:US
Practice Address - Phone:909-567-2223
Practice Address - Fax:909-567-2149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22755261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental