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HENRY POLK DENTAL GROUP, DPC
NPI 1043395023
Dentist - General Practice in Cordova, TN

Active since October 26, 2006
8110 CORDOVA RD, SUITE 125, CORDOVA, TN 38016(901) 755-0001(901) 755-9679 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Henry Polk Dental Group, Dpc NPPES

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

HENRY POLK DENTAL GROUP, DPC (NPI 1043395023) is a healthcare organization registered as a general practice in Cordova, Tennessee and active in the NPI registry since October 2006. The organization lists Reagan Johnson, Financial Coordinator, as its authorized official.

NPPES Registry Identity

NPI1043395023
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHENRY POLK DENTAL GROUP, DPC
Location Address8110 CORDOVA RD, SUITE 125Cordova, TN 38016-0520
Mailing Address8110 Cordova Rd, Suite 125Cordova, TN 38016-0520 · (901) 755-0001 · Fax (901) 755-9679
Phone(901) 755-0001
Fax(901) 755-9679
Organization SubpartNo
Authorized OfficialReagan JohnsonFinancial Coordinator · (901) 755-0001
Enumeration DateOctober 26, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1043395023 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.
8110 CORDOVA RD, Cordova, TN 38016
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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

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LAURA K WILSON DPT
Physical Therapist
8110 CORDOVA RD, STE 107
CORDOVA, TN 38016
Shelby County (901) 756-1650
MRS. HEATHER KINDRICK APN, FNP
Nurse Practitioner (Family)
8110 CORDOVA RD, SUITE 111
CORDOVA, TN 38016
Shelby County (901) 752-6963
HARMONYX DIAGNOSTICS, INC.
Clinical Medical Laboratory
8110 CORDOVA RD, SUITE 119
CORDOVA, TN 38016
Shelby County (901) 507-0476
THE SMILE SPA
Dentist (General Practice)
8110 CORDOVA RD, SUITE 125
CORDOVA, TN 38016
Shelby County (901) 755-0001
BLUFF CITY LABORATORY SERVICES
Clinical Medical Laboratory
8110 CORDOVA RD, SUITE 113A
CORDOVA, TN 38016
Shelby County (800) 959-6105
DR. TAHERE POURMOTABBED PHD
Psychologist (Clinical)
8110 CORDOVA RD
CORDOVA, TN 38016
Shelby County (901) 757-0568
MS. JESSICA L WELKER DPT
Physical Therapist
8110 CORDOVA RD, SUITE 107
CORDOVA, TN 38016
Shelby County (901) 756-1650
MRS. ALICIA JACKSON JUCKETT LPT
Physical Therapist
8110 CORDOVA RD, STE 107
CORDOVA, TN 38016
Shelby County (901) 756-1650

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 Henry Polk Dental Group, Dpc's NPI number?

The NPI number for Henry Polk Dental Group, Dpc is 1043395023. It was assigned to this organization in the NPPES registry on October 26, 2006.

Where is Henry Polk Dental Group, Dpc located?

Henry Polk Dental Group, Dpc is located at 8110 Cordova Rd Suite 125, Cordova, TN 38016. The listed phone number is (901) 755-0001.

What is Henry Polk Dental Group, Dpc'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 Henry Polk Dental Group, Dpc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.