BENJAMIN L POLAN DMD (NPI# 1104375526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104375526 |
| Entity Type | Organization |
| Organization Name | BENJAMIN L POLAN DMD |
| Practice Address |
100 Cummings Ctr S104m Beverly MA 01915-6115 |
| Practice Telephone | 9789221824 |
| Practice Fax Number | 9785240992 |
| Mailing Telephone | 9789221824 |
| Mailing Fax Number | 9785240992 |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |
| Authorized Official Name | DR. BENJMAIN POLAN (OWNER) |
| Authorized Official Telephone | 9789221824 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
14772 | MA | Ambulatory Health Care Facilities |
| Street Address |
100 CUMMINGS CTR S104M |
| City | BEVERLY |
| State | MA |
| Zip Code | 01915-6115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366444739 | Cornell Orthotics and Prosthetics, Inc | Prosthetic/Orthotic Supplier | 100 Cummings Ctr, Suite 207h, Beverly, MA 01915-6115 | 2005-08-15 |
| 1063013878 | Amanda Finn | Behavioral Analyst | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-11-06 |
| 1477153336 | Chris Vecchio | Behavior Technician | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-10-29 |
| 1316544653 | Keyshanna Edwards | Behavior Technician | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-10-08 |
| 1649885930 | Taryn May Andrews | Behavior Technician | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-09-13 |
| 1538771548 | Karenah Renee Harewood | Assistant Behavior Analyst | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-08-20 |
| 1750991501 | Emilia Ronchi | Behavioral Analyst | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-08-06 |
| 1609491067 | Sophia Teresa Cawlina | Behavioral Analyst | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-06-11 |
| 1417570706 | Elizabeth Rose Horan | Speech-Language Pathologist | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-05-21 |
| 1033633631 | Leanne Deterra | Registered Nurse | 100 Cummings Ctr, Element Care Suite 166d, Beverly, MA 01915 | 2017-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377253 | Janice E. Schwartz | Psychologist | 100 Cummings Center, 232 C, Beverly, MA 01915 | 2020-05-14 |
| 1720625452 | Campos Dental Care PC | Dentist | 127 Dodge Street, Beverly, MA 01915 | 2019-12-02 |
| 1144781477 | Nutrimedy | Dietitian, Registered | 6 Oceanside Drive, Beverly, MA 01915 | 2019-03-28 |
| 1376001073 | Benjamin David Stebbings | Counselor | 199 Rosewood Dr. Suite 250, Beverly, MA 01915 | 2019-03-12 |
| 1376000455 | Patrick Matthew Noble | Occupational Therapist | Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 | 2019-02-26 |
| 1174007900 | Nicole Morreo | Psychologist | 480 Rantoul St., 208, Beverly, MA 01915 | 2018-09-18 |
| 1891282299 | Jeanne Tomich | Psychologist | 110 Hart St., Beverly, MA 01915 | 2018-04-20 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1629582556 | Sarah Elizabeth Tsouvalas | Nurse Practitioner | 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2017-11-30 |
| 1235657339 | Kathleen Ann Downey | Registered Nurse | Element Care, 166d Cummings Center, Beverly, MA 01915 | 2017-09-08 |
| Find all providers in zip 01915 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821084971 | Red Bird Clinic, Inc. | Clinic/Center | 53 Queendale Center, Suite 1, Beverly, KY 40913 | 2005-09-23 |
| 1881180156 | Beverly Farms Dental Pllc | Clinic/Center | 50 West St, Beverly, MA 01915-2228 | 2018-07-10 |
| 1083983746 | Gentle Dental Beverly | Clinic/Center | 377 Cabot St, Beverly, MA 01915-3390 | 2011-12-23 |
| 1750555181 | North Shore Pediatric Dental Associates | Clinic/Center | 900 Cummings Ctr, Suite 116-t, Beverly, MA 01915-6198 | 2008-04-16 |
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| 1417555855 | Gardner Smiles Pllc | Clinic/Center | 356 Timpany Blvd, Gardner, MA 01440-5200 | 2020-10-16 |
| 1326646399 | Restoration Smiles, P.C. | Clinic/Center | 2 Coolidge St Ste 202, Hudson, MA 01749-1459 | 2020-10-13 |
| 1295333573 | Brian P. Ganley, Dmd, PC | Clinic/Center | 134 Main St Unit 1c, Groton, MA 01450-1375 | 2020-10-09 |
| 1619583168 | Newton Wellesley Dental Group LLC | Clinic/Center | 447 Centre Street, Same, Newton, MA 02458 | 2020-09-21 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1831703099 | Beacon Dental Health PC | Clinic/Center | 80 Washington St Bldg B, Norwell, MA 02061-1740 | 2020-09-04 |
| 1487267282 | Shoe City Family Dental PC | Clinic/Center | 103 Merrimack St, Haverhill, MA 01830-6208 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.