Benjamin L Polan
Clinic/Center, Dental in Beverly, Massachusetts
1104375526- Practice location
- 100 Cummings Ctr, S104m, Beverly, MA 01915-6115
- Phone
- 978-922-1824
- Fax
- 978-524-0992
- Last updated
- November 19, 2025
Benjamin L Polan is a healthcare organization based in Beverly, MA. Benjamin L Polan practices in Beverly, MA. The NPI Number for Benjamin L Polan is 1104375526 and holds a License No. 14772 (MA). The current practice location address for Benjamin L Polan is 100 Cummings Ctr, S104m, Beverly, MA 01915-6115 and can be reached out via phone at 978-922-1824 and via fax at 978-524-0992.
Provider Profile Details
- NPI Number
- 1104375526
- Provider Name
- Benjamin L Polan
- Provider Entity Type
- Organization
- Address
- 100 Cummings Ctr, S104m, Beverly, MA 01915-6115
- Phone Number
- 978-922-1824
- Fax Number
- 978-524-0992
- Primary Taxonomy
- Clinic/Center, Dental · 261QD0000X
- Organization Subpart
- No
- Authorized Official
- Dr. Benjamin L Polan, DMD · Owner · 978-922-1824
- Provider Enumeration Date
- September 27, 2016
- Last Update Date
- November 19, 2025
- Certification Date
- November 19, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Cummings Ctr
S104m
Beverly, MA 01915-6115 - City
- Beverly
- State
- Massachusetts
- Zip
- 01915-6115
- Phone Number
- 978-922-1824
- Fax Number
- 978-524-0992
Provider Business Mailing Address Details
- Address
- 100 Cummings Ctr
S104m
Beverly, MA 01915-6115 - City
- Beverly
- State
- MA
- Zip
- 01915-6115
- Phone Number
- 978-922-1824
- Fax Number
- 978-524-0992
License Information
- License Number
- 14772
- License State
- MA
- Taxonomy
- Clinic/Center, Dental · 261QD0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Benjamin L Polan?
The NPI number of Benjamin L Polan is 1104375526. It was assigned on September 27, 2016 and is currently active in the NPPES registry.
What is the specialty of Benjamin L Polan?
Benjamin L Polan is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in MA under license number 14772.
Where does Benjamin L Polan practice?
The practice location is 100 Cummings Ctr, S104m, Beverly, MA 01915-6115. The office can be reached at 978-922-1824 (phone) or 978-524-0992 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104375526 directly on the NPPES registry website.