Individual
DR. ROBERT JAMES POLKING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
851 S TAFT AVE, MASON CITY, IA 50401-1503
(641) 424-9398
(641) 424-8130
Mailing address
851 S TAFT AVE, MASON CITY, IA 50401-1503
(641) 424-9398
(641) 424-8130
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6422
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1161174
—
IA
01
—
16117
BCBS PROVIDER NUMBER
IA
Enumeration date
10/26/2006
Last updated
07/08/2007
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