Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN WILLIAM POLIVKA, D.D.S.
Active Sole ProprietorJOHN WILLIAM POLIVKA, D.D.S. is a Dentist healthcare provider located in LA GRANGE HIGHLANDS, Illinois. NPI 1891126454 is currently active in the NPPES registry. Verify at CMS.
Dentist · LA GRANGE HIGHLANDS, IL
Registration Details
- NPI Number
- 1891126454
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 9, 2013 (12.683728602412 yrs)
- Last Updated
- Dec 9, 2013
- License
-
019.029578 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11000 JANN CTLA GRANGE HIGHLANDS, IL, 605257308Browse IL providers · Browse ZIP 60525
- Phone
- 7086996659
- Primary Specialty
-
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.