JOHN WILLIAM POLIVKA D.D.S.
NPI 1891126454
Dentist in La Grange Highlands, IL

Q: What is John Polivka's NPI number?

The NPI number for John Polivka is 1891126454. It was assigned to this individual provider in the NPPES registry on December 9, 2013.

Q: What is John Polivka's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for John Polivka was last updated on December 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since December 09, 2013

11000 JANN CT, LA GRANGE HIGHLANDS, IL 60525(708) 699-6659 Get Directions Write a Review

NPPES record last updated: December 9, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About John William Polivka D.d.s. NPPES

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

JOHN WILLIAM POLIVKA D.D.S. (NPI 1891126454) is an individual dentist in La Grange Highlands, Illinois, licensed in Illinois (019.029578) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1891126454

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJOHN WILLIAM POLIVKACredential: D.D.S.

Location Address11000 JANN CTLa Grange Highlands, IL 60525-7308

Mailing Address11000 Jann CtLa Grange Highlands, IL 60525-7308 · (708) 699-6659

Phone(708) 699-6659

Sole ProprietorYes

Enumeration DateDecember 9, 2013

✔ NPI 1891126454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019.029578

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

11000 JANN CT, La Grange Highlands, IL 60525

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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 John Polivka's NPI number?

The NPI number for John Polivka is 1891126454. It was assigned to this individual provider in the NPPES registry on December 9, 2013.

Where is John Polivka located?

John Polivka practices at 11000 Jann Ct, La Grange Highlands, IL 60525. The listed phone number is (708) 699-6659.

What is John Polivka's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for John Polivka was last updated on December 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.