AMANDA ROMSA POLACK, DMD, MS, PC
NPI 1134078454
Dentist - Orthodontics and Dentofacial Orthopedics in Washington, DC

Active since January 28, 2026
4900 MASSACHUSETTS AVE NW STE 260, WASHINGTON, DC 20016(771) 210-3484(771) 210-3484 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amanda Romsa Polack, Dmd, Ms, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA ROMSA POLACK, DMD, MS, PC (NPI 1134078454) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Washington, District Of Columbia and active in the NPI registry since January 2026. The organization lists Cassandra Wieth, Director Of Payor Relations, as its authorized official.

NPPES Registry Identity

NPI1134078454
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameAMANDA ROMSA POLACK, DMD, MS, PC
Location Address4900 MASSACHUSETTS AVE NW STE 260Washington, DC 20016-4358
Mailing Address4900 Massachusetts Ave Nw Ste 260Washington, DC 20016-4358 · (771) 210-3484 · Fax (771) 210-3484
Fax(771) 210-3484
Organization SubpartYes
Authorized OfficialCassandra WiethDirector Of Payor Relations · (623) 267-8121
Enumeration DateJanuary 28, 2026
NPPES CertifiedJanuary 28, 2026
NPI 1134078454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
4900 MASSACHUSETTS AVE NW STE 260, Washington, DC 20016

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
4900 MASSACHUSETTS AVE NW STE 260
WASHINGTON, DC 20016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Romsa Polack, Dmd, Ms, PC's NPI number?

The NPI number for Amanda Romsa Polack, Dmd, Ms, PC is 1134078454. It was assigned to this organization in the NPPES registry on January 28, 2026.

Where is Amanda Romsa Polack, Dmd, Ms, PC located?

Amanda Romsa Polack, Dmd, Ms, PC is located at 4900 Massachusetts Ave NW Ste 260, Washington, DC 20016. The listed phone number is (771) 210-3484.

What is Amanda Romsa Polack, Dmd, Ms, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Amanda Romsa Polack, Dmd, Ms, PC was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.