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POLARIS PARK OH DENTIST LLC
NPI 1043148091
Dentist - General Practice in Columbus, OH

Active since May 11, 2026
921-925 POLARIS PKWY, COLUMBUS, OH 43240(763) 260-5081 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Polaris Park Oh Dentist Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POLARIS PARK OH DENTIST LLC (NPI 1043148091) is a healthcare organization registered as a general practice in Columbus, Ohio and active in the NPI registry since May 2026. The organization lists David Park, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1043148091
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePOLARIS PARK OH DENTIST LLC
Location Address921-925 POLARIS PKWYColumbus, OH 43240
Mailing Address921-925 Polaris PkwyColumbus, OH 43240
Phone(763) 260-5081
Organization SubpartNo
Authorized OfficialDavid ParkPresident/ceo · (443) 759-0910
Enumeration DateMay 11, 2026
NPPES CertifiedMay 6, 2026
✔ NPI 1043148091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
921-925 POLARIS PKWY, Columbus, OH 43240
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Polaris Park Oh Dentist LLC's NPI number?

The NPI number for Polaris Park Oh Dentist LLC is 1043148091. It was assigned to this organization in the NPPES registry on May 11, 2026.

Where is Polaris Park Oh Dentist LLC located?

Polaris Park Oh Dentist LLC is located at 921-925 Polaris Pkwy, Columbus, OH 43240. The listed phone number is (763) 260-5081.

What is Polaris Park Oh Dentist LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Polaris Park Oh Dentist LLC was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.