Pauline P Reilly-Lake, DMD
Dentist, General Practice in Andover, Massachusetts
1104317494- Practice location
- 16 Haverhill St Ste 1, Andover, MA 01810-3000
- Phone
- 978-699-9051
- Fax
- —
- Last updated
- January 12, 2024
Pauline P Reilly-Lake is a Dentist, General Practice based in Andover, MA. Pauline P Reilly-Lake practices in Andover, MA and has the professional credentials of DMD. The NPI Number for Pauline P Reilly-Lake is 1104317494 and holds a License No. DL13614 (MA). The current practice location address for Pauline P Reilly-Lake is 16 Haverhill St Ste 1, Andover, MA 01810-3000 and can be reached out via phone at 978-699-9051.
Provider Profile Details
- NPI Number
- 1104317494
- Provider Name
- Pauline P Reilly-Lake
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 16 Haverhill St Ste 1, Andover, MA 01810-3000
- Phone Number
- 978-699-9051
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 23, 2018
- Last Update Date
- January 12, 2024
- Certification Date
- January 12, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 16 Haverhill St Ste 1
Andover, MA 01810-3000 - City
- Andover
- State
- Massachusetts
- Zip
- 01810-3000
- Phone Number
- 978-699-9051
Provider Business Mailing Address Details
- Address
- 18 Mount Pleasant Ave
Ipswich, MA 01938-2116 - City
- Ipswich
- State
- MA
- Zip
- 01938-2116
- Phone Number
- 978-790-8278
License Information
- License Number (1)
- DL13614
- License State (1)
- MA
- Taxonomy (1)
- Oral & Maxillofacial Surgery · 204E00000X
- License Number (2)
- DN1858229
- License State (2)
- MA
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Andover, MA
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- Daniel R Fitzgerald, DMDDentist, General Practice · NPI 1821629247
Frequently Asked Questions
What is the NPI number of Pauline P Reilly-Lake, DMD?
The NPI number of Pauline P Reilly-Lake, DMD is 1104317494. It was assigned on May 23, 2018 and is currently active in the NPPES registry.
What is the specialty of Pauline P Reilly-Lake, DMD?
Pauline P Reilly-Lake, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DL13614.
Where does Pauline P Reilly-Lake, DMD practice?
The practice location is 16 Haverhill St Ste 1, Andover, MA 01810-3000. The office can be reached at 978-699-9051 (phone).
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 1104317494 directly on the NPPES registry website.