Individual provider Active NPI

Patrick David Poland, DDS

  • General Practice Dentistry
  • Solon, OH
National Provider Identifier
1104942333
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-02-1331 Issued in OH
Practice address
6175 Som Center Rd Ste 240
Solon, OH 44139-2941
Phone
(440) 248-0868
Fax
(440) 248-9467
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30-02-1331 OH Primary

Addresses

Primary practice location

6175 Som Center Rd Ste 240
Solon, OH 44139-2941

Mailing address

6175 Som Center Rd Ste 240
Solon, OH 44139-2941
Phone (440) 248-0868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170207002856 OH Order and Referring Only - Other (Non-Physician) 6305129800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick D Poland DDS Inc General Practice Current Accepting new patients
John Wang Ophthalmology LLC PastSince Jan 1, 2023 Accepting new patients

Locations

6175 Som Center Rd
Ste 240
Solon, OH 44139
Phone (440) 248-0868

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1104942333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6175 SOM CENTER RD STE 240",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392941",
            "telephone_number": "440-248-0868",
            "fax_number": "440-248-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6175 SOM CENTER RD STE 240",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392941",
            "telephone_number": "440-248-0868",
            "fax_number": "440-248-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLAND",
        "first_name": "PATRICK",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-02-1331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solon, OH

Sources for this page

Verify at the official NPI Registry.