Elizabeth Ashley Polak

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

17400 Issued in MD

Practice address

888 Bestgate Rd Ste 300
Annapolis, MD 21401-2955

Phone

(303) 880-1999

NPI assigned

Aug 2, 2012

Last updated

Dec 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Anchor Periodontics LLC

  • Dental Clinic/Center
  • Stevensville, MD
  • NPI 1467314989
  NPD Authorized official

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1669728002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HUNTING CT UNIT 22",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371232",
            "telephone_number": "303-880-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 BESTGATE RD STE 300",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214012955",
            "telephone_number": "303-880-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLAK",
        "first_name": "ELIZABETH",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "17400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marylou Poblete
• Podiatry Group of Annapolis PA
• Richard Michael Podolin, PH D
• Susan Harrison Podolin, P.T.
• Point Home Care LLC (Amada Senior Care)
• Sara Reich Poldmae, LAC
• Sarah Ann Poling
• Victoria Lyn Pollok, M.ED., CCC-SLP
• Olga Olivera Pomerleau, M.D.
• Tara Pomponio, PA-C

• Periodontics in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Periodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.