Erica Polk, Dds, Pllc | |
5370 Estate Office Dr Ste 2 Memphis TN 38119-3626 | |
(901) 590-1404 | |
(901) 328-5575 |
Full Name | Erica Polk, Dds, Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 5370 Estate Office Dr Ste 2, Memphis, Tennessee |
Authorized Official Name and Position | Erica Polk (OWNER) |
Authorized Official Contact | 9015901404 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Erica Polk, Dds, Pllc 5370 Estate Office Dr Ste 2 Memphis TN 38119-3626 Ph: (901) 590-1404 | Erica Polk, Dds, Pllc 5370 Estate Office Dr Ste 2 Memphis TN 38119-3626 Ph: (901) 590-1404 |
NPI Number | 1588317143 |
---|---|
Provider Enumeration Date | 02/02/2022 |
Last Update Date | 02/02/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588317143 | NPI | - | NPPES |
1527298 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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