Individual provider · Type 1 NPI

Charles Edwin Polk, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Stillwater, OK

NPI number 1467581611 Active

Practice location

1518 W 8th Ave
Stillwater, OK 74074-4372

Fax (405) 372-0037

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X3446 (OK)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1467581611

Charles Edwin Polk, DDS's National Provider Identifier is 1467581611, issued on Mar 5, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Stillwater, OK. The record was last updated on Jul 8, 2007.