Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Elizabeth Ashley Polak

Individual provider Periodontics · NPI 1669728002

Dr. Elizabeth Ashley Polak is a Periodontics in Annapolis, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2012

Practice location Address checks out

888 Bestgate Rd Ste 300
Annapolis, MD 21401-2955
Phone: (303) 880-1999
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 17400 (MD)

Record details

NPI number1669728002
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 2, 2012
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

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