Active NPIIndividual provider

Dr. Diana S Polk, DDS

Dentist, General Practice in Lake Hiawatha, New Jersey

NPI Number1437341336
Practice location
11 N Beverwyck RD, Lake Hiawatha, NJ 07034-2518
Fax
—
Last updated
August 14, 2007

Diana Suzanne Polk is a Dentist, General Practice based in Lake Hiawatha, NJ. Diana Suzanne Polk practices in Lake Hiawatha, NJ and has the professional credentials of DDS. The NPI Number for Diana Suzanne Polk is 1437341336 and holds a License No. 22DI01879100 (NJ). The current practice location address for Diana Suzanne Polk is 11 N Beverwyck RD, Lake Hiawatha, NJ 07034-2518 and can be reached out via phone at 973-334-0212.

Provider Profile Details

NPI Number
1437341336
Provider Name
Diana Suzanne Polk
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
11 N Beverwyck RD, Lake Hiawatha, NJ 07034-2518
Phone Number
973-334-0212
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
August 14, 2007
Last Update Date
August 14, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 N Beverwyck RD
Lake Hiawatha, NJ 07034-2518
Zip
07034-2518
Phone Number
973-334-0212
Lake Hiawatha, NJ 07034Get directions →

Provider Business Mailing Address Details

Address
11 N Beverwyck RD
Lake Hiawatha, NJ 07034-2518
City
Lake Hiawatha
State
NJ
Zip
07034-2518

License Information

License Number
22DI01879100
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Diana S Polk, DDS?

The NPI number of Dr. Diana S Polk, DDS is 1437341336. It was assigned on August 14, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Diana S Polk, DDS?

Dr. Diana S Polk, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI01879100.

Where does Dr. Diana S Polk, DDS practice?

The practice location is 11 N Beverwyck RD, Lake Hiawatha, NJ 07034-2518. The office can be reached at 973-334-0212 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437341336 directly on the NPPES registry website.

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