HENRY POLK DENTAL GROUP, DPC (NPI# 1043395023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043395023 |
| Entity Type | Organization |
| Organization Name | HENRY POLK DENTAL GROUP, DPC |
| Practice Address |
8110 Cordova Rd Suite 125 Cordova TN 38016-0520 |
| Practice Telephone | 9017550001 |
| Practice Fax Number | 9017559679 |
| Mailing Telephone | 9017550001 |
| Mailing Fax Number | 9017559679 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. REAGAN JOHNSON (FINANCIAL COORDINATOR) |
| Authorized Official Telephone | 9017550001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
8110 CORDOVA RD SUITE 125 |
| City | CORDOVA |
| State | TN |
| Zip Code | 38016-0520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295359 | Alicia Jackson Juckett | Physical Therapist | 8110 Cordova Rd, Ste 107, Cordova, TN 38016-0520 | 2005-06-21 |
| 1629457338 | Bluff City Laboratory Services | Clinical Medical Laboratory | 8110 Cordova Rd, Suite 113a, Cordova, TN 38016-0520 | 2015-05-27 |
| 1275964645 | Heather Kindrick | Registered Nurse | 8110 Cordova Rd, Suite 111, Cordova, TN 38016-0520 | 2013-12-10 |
| 1841565405 | Elizabeth Martin | Speech-Language Pathologist | 8110 Cordova Rd, Cordova, TN 38016-0520 | 2012-03-15 |
| 1487941860 | The Smile Spa | Dentist | 8110 Cordova Rd, Suite 125, Cordova, TN 38016-0520 | 2011-07-06 |
| 1346550134 | Harmonyx Diagnostics, Inc. | Clinical Medical Laboratory | 8110 Cordova Rd, Suite 119, Cordova, TN 38016-0520 | 2010-10-14 |
| 1700107679 | Jessica L Welker | Physical Therapist | 8110 Cordova Rd, Suite 107, Cordova, TN 38016-0520 | 2010-06-15 |
| 1154551471 | Laura K Wilson | Physical Therapist | 8110 Cordova Rd, Ste 107, Cordova, TN 38016-0520 | 2009-07-21 |
| 1649343765 | Tahere Pourmotabbed | Psychologist | 8110 Cordova Rd, Cordova, TN 38016-0520 | 2006-11-16 |
| 1932284999 | Andrea Henry | Dentist | 8110 Cordova Rd, Suite 125, Cordova, TN 38016-0520 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548886872 | Megan Scott Bolton | Physical Therapist | 8110 Cordova Road Suite 107, Cordova, TN 38016 | 2020-06-23 |
| 1477195451 | Jacqueline Reeves Thomas | Counselor | Memphis Veterans Affairs Medical Center (vamc), 1030 Jefferson Ave, Memphis, TN 38016 | 2019-10-11 |
| 1376195842 | Robert Cody Heismann | Physical Therapist | 8110 Cordova Rd, Ste 107, Cordova, TN 38016 | 2019-07-15 |
| 1881189702 | Carolyn Bean | Home Health Aide | 1786 Beaver Trail Dr, Cordova, TN 38016 | 2018-06-22 |
| 1255776886 | Suzanne Elaine Baker | Family Medicine | 2257 North Germantown Parkway, Memphis, TN 38016 | 2013-05-09 |
| 1487806683 | Janet Lee Ferrell | Counselor | 1340 Siskin Drive, Cordova, TN 38016 | 2008-10-21 |
| 1114186624 | Rebecca L Bills | Optometrist | 1795 N Germantown Pkwy, Cordova, TN 38016 | 2008-06-09 |
| 1679784128 | Linda Kay Yates | Emergency Medicine | 1401 Dexter Lane, Cordova, TN 38016 | 2007-05-25 |
| 1417168386 | Healthquest | Psychiatry & Neurology | 58 Timber Creek, Cordova, TN 38016 | 2007-05-24 |
| 1114079795 | Barbara T Henking | Psychologist | 8134 Country Village, #102, Cordova, TN 38016 | 2007-01-17 |
| Find all providers in zip 38016 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639712763 | Tennessee Dental Professionals, PC | Dentist | 9915 Macon Rd, Cordova, TN 38016-6637 | 2019-10-22 |
| 1760981310 | Contagious Smiles PC | Dentist | 695 N Germantown Pkwy Ste 101, Cordova, TN 38018-6880 | 2018-02-09 |
| 1477066652 | Tennessee Dental Professionals, PC | Dentist | 8790 Walnut Grove Rd, Cordova, TN 38018-4379 | 2017-11-10 |
| 1508007717 | Botts Dental Spa PC | Dentist | 1055 N. Houston Levee Rd., Suite 102, Cordova, TN 38018-6689 | 2009-03-18 |
| 1346496593 | Comfort Zone Dental Center, LLC | Dentist | 9200 Chimneyrock Blvd, Suite 104, Cordova, TN 38016-2323 | 2008-08-07 |
| 1508038381 | Keith Morris Family Denistry | Dentist | 8089 Walnut Run Rd Ste 1, Cordova, TN 38018-8844 | 2008-04-01 |
| 1558580787 | Stephen Craig Alsobrook | Dentist | 280 German Oak Dr, Cordova, TN 38018-7220 | 2007-04-25 |
| 1376669549 | H Cannon Doan | Dentist | 8135 Walnut Grove Rd, Suite 4, Cordova, TN 38018-4240 | 2007-03-21 |
| 1992829493 | William M Locante | Dentist | 850 Willow Tree Cir, Cordova, TN 38018-6376 | 2007-03-19 |
| 1639207293 | Teresa Macaraeg | Dentist | 8295 Cordova Road, Suite 101, Cordova, TN 38018 | 2007-03-02 |
| Find all providers in CORDOVA | ||||
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| 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.