Healthcare Provider Details

I. General information

NPI: 1891632832
Provider Name (Legal Business Name): PATRICK D POLAND DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6175 SOM CENTER RD STE 240
SOLON OH
44139-2941
US

IV. Provider business mailing address

6175 SOM CENTER RD STE 240
SOLON OH
44139-2941
US

V. Phone/Fax

Practice location:
  • Phone: 440-248-0868
  • Fax: 440-248-9467
Mailing address:
  • Phone: 440-248-0868
  • Fax: 440-248-9467

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: PATRICK DAVID POLAND
Title or Position: OWNER
Credential: DDS
Phone: 440-248-0868