P Praxis·MD
● Active Type 1 · Individual

DR. Ronald J Polk JR., DMD

Dentist·Columbus, GA· NPI 1841366457 · Enumerated 2006 · 19 years on NPI
Polk is 1 of 80 dentist providers in Columbus and 1 of 4309 in Georgia.
NPI age
19 years
Enumerated 2006-11-27
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4309 active dentist providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Practice location
3408 University Ave, Ste B
Columbus, GA 31907
📞 7065635516fax 7065635575
Mailing address
3408 University Ave, Ste B
Columbus, GA 31907
📞 7065635516fax 7065635575

Specialties

  • Dentist Primary
    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.
    GA license #011350 taxonomy 1223G0001X

Identifiers

TypeValueNotes
01 F0076 BLUE CROSS OF LA
01 045607 UNITED CONCORDIA

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new dentist provider has been added in Columbus in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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