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Organization

OP DENTAL ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MELVIN S POLK JR. DDS MS (SECRETARY TREASURER)
(615) 333-2833
Entity
Organization

Contact information

Practice address
4718 NOLENSVILLE PIKE, NASHVILLE, TN 37211-5408
(615) 333-2833
(615) 333-2863
Mailing address
4718 NOLENSVILLE PIKE, NASHVILLE, TN 37211-5408
(615) 333-2833
(615) 333-2863

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS3842
TN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DS3729
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9177774
TN CARE
TN
05
9178327
TN
Enumeration date
11/15/2006
Last updated
09/11/2025
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