STAR SMILE
NPI 1265580237
Dentist - Endodontics in Framingham, MA

Active since January 08, 2007
615 CONCORD ST STE 1, FRAMINGHAM, MA 01702(508) 872-0045(508) 281-1406 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 6, 2024, Aug 22, 2020 (2 updates tracked since 2020).

  • Organization
  • Dentist
  • Endodontics

About STAR SMILE

This page provides the complete NPI Profile along with additional information for Star Smile, a provider established in Framingham, Massachusetts operating as a Dentist, focusing in endodontics . The healthcare provider is registered in the NPI registry with number 1265580237 assigned on January 2007. The practitioner's primary taxonomy code is 1223E0200X with license number 19569 (MA). The provider is registered as an organization and their NPI record was last updated 2 years ago. Star Smile operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Star Smile. The authorized official of this NPI record is Kathryn Alexandra Polyakov (Dentist/owner)

NPI
1265580237 Verify this NPI
Provider Legal Name
KATHRYN POLYAKOV DMD PC
Other Organization Name
STAR SMILE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
615 CONCORD ST STE 1 FRAMINGHAM, MA 01702
Location Phone
(508) 872-0045
Location Fax
(508) 281-1406
Mailing Address
615 CONCORD ST STE 1 FRAMINGHAM, MA 01702
Mailing Phone
(508) 872-0045
Mailing Fax
(508) 281-1406
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-08-2007
Last Update Date
05-06-2024
Code Navigator

A dentist like Star Smile is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Endodontics

Taxonomy Code
1223E0200X
Type
Dental Providers
License No.
19569
License State
MA
Taxonomy Description
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223G0001XDental Providers

Dentist
General Practice

20584 (MA)
21223P0300XDental Providers

Dentist
Periodontics

13973 (MA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATHRYN ALEXANDRA POLYAKOV

Authorized Official Title
DENTIST/OWNER
Authorized Official Phone
(508) 872-0045

Reviews for STAR SMILE

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (General Practice)
615 CONCORD ST STE 1
FRAMINGHAM, MA 01702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265580237, enumerated as an "organization" on January 08, 2007.

The provider is located at 615 CONCORD ST STE 1 FRAMINGHAM, MA 01702 and the phone number is (508) 872-0045.

Dentist with taxonomy code 1223E0200X and a focus in Endodontics.