Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Polaris Park Oh Dentist LLC

Organization General Practice Dentistry · NPI 1043148091

Polaris Park Oh Dentist LLC provides General Practice Dentistry in Columbus, Ohio. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

921-925 Polaris Pkwy
Columbus, OH 43240
Phone: (763) 260-5081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1043148091
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Park — President/Ceo · (443) 759-0910
NPI enumeratedMay 11, 2026
Last updated in NPPESMay 11, 2026
Certification dateMay 6, 2026
Mailing address921-925 Polaris Pkwy, Columbus, OH 43240

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