Organization
HENRY POLK DENTAL GROUP, DPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REAGAN JOHNSON (FINANCIAL COORDINATOR)
(901) 755-0001
Entity
Organization
Contact information
Practice address
8110 CORDOVA RD, SUITE 125, CORDOVA, TN 38016-0520
(901) 755-0001
(901) 755-9679
Mailing address
8110 CORDOVA RD, SUITE 125, CORDOVA, TN 38016-0520
(901) 755-0001
(901) 755-9679
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/26/2006
Last updated
08/22/2020
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