Organization
POLK ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAITLIN POLK DDS, MDS (OWNER)
(580) 504-7633
Entity
Organization
Contact information
Practice address
6425 STAGE RD STE 7, BARTLETT, TN 38134-3731
(901) 382-3050
Mailing address
6425 STAGE RD STE 7, BARTLETT, TN 38134-3731
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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