OrganizationActive
Amanda Romsa Polack, DMD, Ms, PC
NPI 1134078454 · Orthodontics and Dentofacial Orthopedics Dentistry · Washington, DC
Provider details
- NPI number
- 1134078454
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Parent organization
- Amanda Romsa Polack, DMD, Ms, PC
- Organization subpart
- Yes
- Authorized official
- Cassandra Wieth, Director of Payor Relations(623) 267-8121
Specialties & taxonomies
Dental Providers
Practice location
4900 Massachusetts Ave Nw Ste 260
Washington, DC 20016-4358
Phone: (771) 210-3484
Fax: (771) 210-3484
Approximate (ZIP-level) locationGet directions
Mailing address
4900 Massachusetts Ave Nw Ste 260
Washington, DC 20016-4358
Registry dates
- Enumerated
- 2026-01-28
- Last updated
- 2026-01-28
- Certified
- 2026-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.