Provider Demographics
NPI:1518973965
Name:POLINSKI, ELIZABETH M (DDS)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:M
Last Name:POLINSKI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:POLINSKI MAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:909 W MONTGOMERY ST STE 400
Mailing Address - Street 2:
Mailing Address - City:WILLIS
Mailing Address - State:TX
Mailing Address - Zip Code:77378-8655
Mailing Address - Country:US
Mailing Address - Phone:936-506-0020
Mailing Address - Fax:936-506-0012
Practice Address - Street 1:20175 EVA ST. STEWART CREEL DENTAL CARE
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77356-2285
Practice Address - Country:US
Practice Address - Phone:936-297-2223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX379091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice