Individual provider · Type 1 NPI

Elizabeth Ashley Polak

Periodontics · Annapolis, MD

NPI number 1669728002 Active

Practice location

888 Bestgate Rd Ste 300
Annapolis, MD 21401-2955

Call (303) 880-1999 Map

Mailing address

24 Hunting Ct Unit 22
Edgewater, MD 21037-1232

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X17400 (MD)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1669728002

Elizabeth Ashley Polak's National Provider Identifier is 1669728002, issued on Aug 2, 2012. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Annapolis, MD. The record was last updated on Dec 2, 2025.