# POLESKI FAMILY DENTISTRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609633676
- **Authorized official:** DR. KENNETH M POLESKI DMD (OWNER)
- **Authorized official phone:** (412) 384-3130

## Contact information

- **Practice address:** 1209 STATE ROUTE 885 STE 2, JEFFERSON HILLS, PA 15025-3821
- **Practice address phone:** (412) 384-3130
- **Practice address fax:** (412) 384-3087
- **Mailing address:** 1209 STATE ROUTE 885 STE 2, JEFFERSON HILLS, PA 15025-3821
- **Mailing address phone:** (412) 384-3130
- **Mailing address fax:** (412) 384-3087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/05/2024
- **Last updated:** 03/05/2024