Charles Edwin Polk in Stillwater - Orthodontics And Dentofacial Orthopedics
Charles Edwin Polk - NPI 1467581611
Charles Edwin Polk is a Orthodontics And Dentofacial Orthopedics in Stillwater, Oklahoma. Charles Edwin Polk practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Charles Edwin Polk is 1467581611. The last update date is 2007-07-08.
Charles Edwin Polk's current location address is 1518 W 8th Ave, Stillwater, Oklahoma. You can contact this provider via phone number 4053721300 and fax number 4053720037. The mailing address for Charles Edwin Polk is 1518 W 8th Ave, Stillwater, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Edwin Polk |
|---|---|
| Address | 1518 W 8th Ave, Stillwater, Oklahoma |
| Phone Number | 4053721300 |
| Fax Number | 4053720037 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1467581611 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1518 W 8th Ave |
|---|---|
| City | Stillwater |
| State | Oklahoma (OK) |
| Post Code | 740744372 |
| Phone Number | 4053721300 |
| Fax Number | 4053720037 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 3446 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the unique identification code assigned to Charles Edwin Polk by the Centers for Medicare & Medicaid Services?
The Charles Edwin Polk has been issued the NPI (National Provider Identifier) 1467581611. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Charles Edwin Polk?
The Charles Edwin Polk is physically situated at 1518 W 8Th Ave, in the city of Stillwater, state of OK, with the postal code 740744372.
What is the Charles Edwin Polk's area of specialization and corresponding taxonomy classification?
The Charles Edwin Polk's specialty field is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1467581611 to Charles Edwin Polk?
The Centers for Medicare & Medicaid Services originally issued the 1467581611 to Charles Edwin Polk on 2007-03-05.
As of what date were the details pertaining to Charles Edwin Polk last refreshed?
The information related to the Charles Edwin Polk, including its address, specialty, and other relevant details, was last updated on 2007-07-08.