Kimberly Polk in Bridgeport - Dental Hygienist
Kimberly Polk - NPI 1013990944
Kimberly Polk is a Dental Hygienist in Bridgeport, Connecticut. Kimberly Polk practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Kimberly Polk is 1013990944. The last update date is 2007-07-08.
Kimberly Polk's current location address is 982 E Main St, Bridgeport, Connecticut. You can contact this provider via phone number 2036963260 and fax number 2033320376. The mailing address for Kimberly Polk is 982 E Main St, Bridgeport, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Polk |
|---|---|
| Address | 982 E Main St, Bridgeport, Connecticut |
| Phone Number | 2036963260 |
| Fax Number | 2033320376 |
| Sole Proprietor | X |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1013990944 |
|---|---|
| Provider Enumeration Date | 2005-11-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 982 E Main St |
|---|---|
| City | Bridgeport |
| State | Connecticut (CT) |
| Post Code | 66081913 |
| Phone Number | 2036963260 |
| Fax Number | 2033320376 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | 6653 |
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Definition: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6653 | CT | STATE LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kimberly Polk by the Centers for Medicare & Medicaid Services?
The Kimberly Polk has been assigned the NPI (National Provider Identifier) 1013990944 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Kimberly Polk is physically located?
The Kimberly Polk is physically situated at the following address: 982 E Main St, Bridgeport, CT, 66081913.
What is Kimberly Polk's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kimberly Polk is Dental Hygienist, and the taxonomy classification code that categorizes this area of expertise is 124Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1013990944 to Kimberly Polk?
The Centers for Medicare & Medicaid Services originally issued the 1013990944 to Kimberly Polk on 2005-11-23.
As of what date were the Kimberly Polk's details last updated?
The information pertaining to the Kimberly Polk, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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