IndividualActive
Adam Polivy, D.M.D.
NPI 1447562426 · General Practice Dentistry · Boston, MA
Provider details
- NPI number
- 1447562426
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- DL10956 (MA)
Specialties & taxonomies
Dental Providers
Practice location
100 E Newton St
Room G-401
Boston, MA 02118-2308
Phone: (617) 638-4705
Approximate (ZIP-level) locationGet directions
Mailing address
100 E Newton St
Boston, MA 02118-2308
Registry dates
- Enumerated
- 2010-07-07
- Last updated
- 2010-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.