Jason Polk, D. M. D

NPI 1033131487 · on the registry since 2006

Practice

Address: 120 Scarbrough St
Suite B
Richland, MS 39218
Phone: (601) 932-0606
Fax: (601) 932-0703
Organisation at this address: Polk Dental Center
A-Z Behavioral Solutions
St. Joseph Hospice Of West Mississippi, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi