KIMBERLY POLK


Address: 982 E Main St, Bridgeport, CT 06608-1913
Phone: 2036963260

KIMBERLY POLK (NPI# 1013990944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013990944
Entity Type Individual
Full Name KIMBERLY POLK
Practice Address 982 E Main St
Bridgeport
CT 06608-1913
Mailing Address 471 Barnum Ave
Bridgeport
CT 06608-2409
Practice Telephone 2036963260
Practice Fax Number 2033320376
Mailing Telephone 2033336864
Mailing Fax Number 2033320376
Enumeration Date 2005-11-23
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 006653 CT Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT STATE LICENSE 006653 01

Other Providers KIMBERLY POLK

NPI Name Taxonomy Address Enumeration
1730411059 Kimberly Dawn Polk Nurse Practitioner 1325 Eastmoreland Ave, Ste 550, Memphis, TN 38104-7507 2010-02-11
1134234743 Kimberly A Polk Physical Therapist 4201 Lake Boone Trl, Suite 004, Raleigh, NC 27607-7512 2006-08-21

Office Location

Street Address 982 E MAIN ST
City BRIDGEPORT
State CT
Zip Code 06608-1913

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952384885 Vitaly Lein Dental Hygienist 982 E Main St, Bridgeport, CT 06608-1913 2005-11-23
1356942494 Marilyn Karen Bartley Dental Hygienist 982 E Main St, Bridgeport, CT 06608-1913 2020-11-04
1609475169 Farihah Janan Ahmed Dentist 982 E Main St, Bridgeport, CT 06608-1913 2020-10-25
1093347114 Alix Pose-sussman Acupuncturist 982 E Main St, Bridgeport, CT 06608-1913 2020-02-06
1629588678 Kristin Obrien Social Worker 982 E Main St, Bridgeport, CT 06608-1913 2017-10-04
1326591223 Saif Issac Dentist 982 E Main St, Bridgeport, CT 08806 2016-07-27
1740651884 Michael O'malley Social Worker 982 E Main St, Bridgeport, CT 06608-1913 2015-10-15
1437525110 Myriam H Rodriguez Dental Hygienist 982 E Main St, Bridgeport, CT 06608-1913 2015-08-17
1972907012 Optimus Healthcare Clinic/Center 982 E Main St, Dental Department, Bridgeport, CT 06608-1913 2014-10-17
1447652490 Charles Engle Physician Assistant 982 E Main St, Bridgeport, CT 06608-1913 2014-09-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184193591 Full Circle Youth Empowerment Community/Behavioral Health 583-585 East Main Street, Bridgeport, CT 06608 2018-11-14
1225548332 Vicarah, LLC Home Health 941 East Main Street, Bridgeport, CT 06608 2017-10-03
1285092346 Heavenly Providers, LLC Home Health 1071 William St, Bridgeport, CT 06608 2016-02-04
1659590131 Annette Tirado Social Worker 982 East Main St, Bridgeport, CT 06608 2007-04-24
1629023536 Brenda I Kulikowski Midwife 982 East Main Street, Optimus Health Care, Bridgeport, CT 06608 2006-05-23
1043695588 Kirithika Mohanathaas Internal Medicine 471 Barnum Ave, Bridgeport, CT 06608 2015-07-27
1023225646 Regional Network of Programs, Inc. Community Based Residential Treatment Facility, Mental Illness 74 Huntington Rd, Bridgeport, CT 06608-1006 2007-05-16
1295013910 Lorraine Dionne Brooks-williams Registered Nurse 100 Putnam St, Ph, Bridgeport, CT 06608-1045 2011-07-29
1558480673 City of Bridgeport Health Dept. Clinic/Center 479 Helen St, Bridgeport, CT 06608-1321 2007-03-28
1568795094 Kelly M Bucci-didomenico Nurse Practitioner 479 Helen St, Bridgeport, CT 06608-1321 2009-09-16
Find all providers in zip 06608

Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy 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 legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417099680 Karen Sue Williams Dental Hygienist 30 Hazel Street, Bridgeport, CT 06604-5715 2007-02-13
1952384885 Vitaly Lein Dental Hygienist 982 E Main St, Bridgeport, CT 06608-1913 2005-11-23
1356942494 Marilyn Karen Bartley Dental Hygienist 982 E Main St, Bridgeport, CT 06608-1913 2020-11-04
1235790296 Hudson I Hector Dental Hygienist 46 Albion St, Bridgeport, CT 06605-2602 2019-06-20
1740735026 Michelle Lane Dental Hygienist 1015 Columbia, Bridgeport, WA 98813 2016-08-17
1437525110 Myriam H Rodriguez Dental Hygienist 982 E Main St, Bridgeport, CT 06608-1913 2015-08-17
1568726784 Castelin Decamps Dental Hygienist 982 E Main St, Bridgeport, CT 06608-1913 2012-07-03
1366720013 Susan M. Miklos Dental Hygienist 126 Park Ave, Bridgeport, CT 06604-7620 2011-07-29
1629303813 Shauna Khan Dental Hygienist 982 E Main St, Bridgeport, CT 06608-1913 2009-10-06
1891940656 Amuri Barbosa Dental Hygienist 64 Black Rock Ave, Bridgeport, CT 06605-1200 2008-11-20
Find all providers in BRIDGEPORT

Competitor

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City BRIDGEPORT
Zip Code 06608

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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