Individual
DR. SAMUEL CHARLES POLLINA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1253 SCALP AVE, STE 105, JOHNSTOWN, PA 15904
(814) 269-9731
(814) 266-5881
Mailing address
1253 SCALP AVE, STE 105, JOHNSTOWN, PA 15904
(814) 269-9731
(814) 266-5881
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS023871L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01551950
—
PA
01
—
244771
GATEWAY HEALTH PLAN
PA
01
—
446443
UNITED CONCORDIA
PA
01
—
66823
UPMC
—
01
—
67923
THREE RIVERS MED PLUS
—
Enumeration date
11/17/2005
Last updated
07/08/2007
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