MAHADEEP VIRK DMD, MSD & ELLEN POLSKY DDS
NPI 1699590174
Dentist - Pediatric Dentistry in Issaquah, WA

Active since November 19, 2024
22530 SE 64TH PL STE 130, ISSAQUAH, WA 98027(253) 848-4000(253) 604-4130 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mahadeep Virk Dmd, Msd & Ellen Polsky Dds NPPES

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

MAHADEEP VIRK DMD, MSD & ELLEN POLSKY DDS (NPI 1699590174), doing business as Kids Choice Dental Of Issaquah, is a healthcare organization registered as a pediatric dentistry in Issaquah, Washington and active in the NPI registry since November 2024. The organization lists Angie Metzger, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1699590174
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMAHADEEP VIRK DMD, MSD & ELLEN POLSKY DDS
Location Address22530 SE 64TH PL STE 130Issaquah, WA 98027-5353
Mailing AddressPo Box 460Puyallup, WA 98371-0047 · (253) 848-4000 · Fax (253) 604-4130
Fax(253) 604-4130
Organization SubpartNo
Authorized OfficialAngie MetzgerBilling Manager · (253) 219-5730
Enumeration DateNovember 19, 2024
NPPES CertifiedNovember 19, 2024
NPI 1699590174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
22530 SE 64TH PL STE 130, Issaquah, WA 98027

Other Names 1

Doing Business AsKids Choice Dental Of Issaquah

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Dentist (Orthodontics and Dentofacial Orthopedics)
22530 SE 64TH PL STE 130
ISSAQUAH, WA 98027
Dentist (Orthodontics and Dentofacial Orthopedics)
22530 SE 64TH PL STE 130
ISSAQUAH, WA 98027

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 Mahadeep Virk Dmd, Msd & Ellen Polsky Dds's NPI number?

The NPI number for Mahadeep Virk Dmd, Msd & Ellen Polsky Dds is 1699590174. It was assigned to this organization in the NPPES registry on November 19, 2024. The provider is doing business as Kids Choice Dental Of Issaquah.

Where is Mahadeep Virk Dmd, Msd & Ellen Polsky Dds located?

Mahadeep Virk Dmd, Msd & Ellen Polsky Dds is located at 22530 SE 64th Pl Ste 130, Issaquah, WA 98027. The listed phone number is (253) 848-4000.

What is Mahadeep Virk Dmd, Msd & Ellen Polsky Dds's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Mahadeep Virk Dmd, Msd & Ellen Polsky Dds was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.