DR. DAVID LAWRENCE POLK D.D.S - NPI 1083695480

Q: What is David Polk's NPI number?

The NPI number for David Polk is 1083695480. It was assigned to this individual provider in the NPPES registry on November 11, 2005.

Q: What is David Polk's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for David Polk was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Dr. David Lawrence Polk D.d.s NPPES

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

DR. DAVID LAWRENCE POLK D.D.S (NPI 1083695480) is an individual dentist in Bedford, Virginia, licensed in Virginia (08739) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083695480

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. DAVID LAWRENCE POLKCredential: D.D.S

Location Address167 W MAIN STBedford, VA 24523-1950

Mailing Address1577 Walkers Crossing DrForest, VA 24551-4512 · (540) 525-4902

Phone(540) 586-8106

Fax(540) 586-5054

Sole ProprietorNo

Enumeration DateNovember 11, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1083695480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in VA · 08739

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

167 W MAIN ST, Bedford, VA 24523

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David Lawrence Polk D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24523 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.