Individual
DR. MELVIN SYLVESTER POLK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4718 NOLENSVILLE PIKE, NASHVILLE, TN 37211-5408
(615) 333-2833
(615) 333-2863
Mailing address
9636 MITCHELL PL, BRENTWOOD, TN 37027-8482
(615) 776-5708
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS3729
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5440294
—
TN
01
—
9178327
TENNCARE
—
Enumeration date
01/20/2006
Last updated
07/08/2007
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