Provider Demographics
NPI:1285871129
Name:POLLET, ALAN (DMD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:
Last Name:POLLET
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 PINE STREET
Mailing Address - Street 2:SUITE 4800
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10005
Mailing Address - Country:US
Mailing Address - Phone:212-943-4997
Mailing Address - Fax:212-747-0774
Practice Address - Street 1:70 PINE STREET
Practice Address - Street 2:SUITE 4800
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10005
Practice Address - Country:US
Practice Address - Phone:212-943-4997
Practice Address - Fax:212-747-0774
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-14
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0322621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice