KRISTY POLHEMUS
NPI 1184721276
Dental Assistant in Lake Jackson, TX

Active since September 20, 2006
102 FLAG LAKE DR STE C, LAKE JACKSON, TX 77566(979) 297-1201(979) 297-6226 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristy Polhemus NPPES

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

KRISTY POLHEMUS (NPI 1184721276) is an individual dental assistant in Lake Jackson, Texas, licensed in Texas (2067) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1184721276
Entity TypeIndividualFemale
Primary Taxonomy126800000X
Provider Legal NameKRISTY POLHEMUS
Location Address102 FLAG LAKE DR STE CLake Jackson, TX 77566-6215
Mailing Address1109 E Kyle RdClute, TX 77531-3311 · (979) 285-5114 · Fax (979) 297-6226
Fax(979) 297-6226
Sole ProprietorYes
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1184721276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental AssistantDental Providers
Taxonomy Code126800000X
License Licensed in TX · 2067
Definition
An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
102 FLAG LAKE DR STE C, Lake Jackson, TX 77566

Other Providers at the Same Location NPPES 10

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

Dentist (General Practice)
102 FLAG LAKE DR STE C
LAKE JACKSON, TX 77566
Dental Assistant
102 FLAG LAKE DR STE C
LAKE JACKSON, TX 77566
Dentist (General Practice)
102 FLAG LAKE DR STE C
LAKE JACKSON, TX 77566
Dentist (General Practice)
102 FLAG LAKE DR STE C
LAKE JACKSON, TX 77566
Dental Assistant
102 FLAG LAKE DR STE C
LAKE JACKSON, TX 77566
Dentist (General Practice)
102 FLAG LAKE DR STE C
LAKE JACKSON, TX 77566
Dental Hygienist
102 FLAG LAKE DR STE C
LAKE JACKSON, TX 77566
Dentist (General Practice)
102 FLAG LAKE DR STE C
LAKE JACKSON, TX 77566

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 Kristy Polhemus's NPI number?

The NPI number for Kristy Polhemus is 1184721276. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Kristy Polhemus located?

Kristy Polhemus practices at 102 Flag Lake Dr Ste C, Lake Jackson, TX 77566. The listed phone number is (979) 297-1201.

What is Kristy Polhemus's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

When was this NPI record last updated?

The NPPES record for Kristy Polhemus was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.