Jim H. Polles, D.M.D.
NPI 1669482014ActiveIndividual· Dentist· Jackson, MS
Dentist (D.M.D.) in Jackson, Mississippi, licensed in MS and TN, with an NPI issued in August 2006. Part D covered 32 prescriptions written in 2024, 97% of them generic.
Overview
| NPI | 1669482014 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.M.D. |
| Sole proprietor | Yes |
| NPI issued | Aug 8, 2006 |
| Last updated in NPPES | Apr 7, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 3402-06 | MS |
| Dentist | 122300000X | 7754 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 32 · 32 30-day fills |
|---|---|
| Patients | 18 |
| Total drug cost | $178.53 |
| Generic share | 97% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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