Kimberly Polk
Dental Hygienist
982 E Main St
Bridgeport
, Connecticut 06608-1913
Kimberly Polk
Dental Hygienist
982 E Main St
Bridgeport
, Connecticut 06608-1913
(203) 332-0376
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Kimberly Polk
- 471 Barnum Ave
- Bridgeport, CT
- Zip : 06608-2409
- Fax : (203) 332-0376
- Phone : (203) 333-6864
Second Address
- Kimberly Polk
- 982 E Main St
- Bridgeport, CT
- Zip : 06608-1913
- Fax : (203) 332-0376
- Phone : (203) 696-3260
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 006653 | CT |
National Provider Identifier
| NPI | 1013990944 |
|---|---|
| Provider Name | Kimberly Polk |
| First Address | Bridgeport, CT 06608-2409 |
| Second Address | Bridgeport, CT 06608-1913 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/11/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 006653 | STATE LICENSE (01) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.