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PAULINE P REILLY-LAKE DMD
NPI 1104317494
Dentist - General Practice in Andover, MA

Active since May 23, 2018
16 HAVERHILL ST STE 1, ANDOVER, MA 01810(978) 699-9051 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2022, Mar 30, 2021, May 23, 2018 (3 updates tracked since 2018).

About Pauline P Reilly-lake Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAULINE P REILLY-LAKE DMD (NPI 1104317494) is an individual general practice provider in Andover, Massachusetts, licensed in Massachusetts (DN1858229) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1104317494
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NamePAULINE P REILLY-LAKECredential: DMD
Location Address16 HAVERHILL ST STE 1Andover, MA 01810-3000
Mailing Address18 Mount Pleasant AveIpswich, MA 01938-2116 · (978) 790-8278
Phone(978) 699-9051
Sole ProprietorNo
Enumeration DateMay 23, 2018
Last NPPES UpdateJanuary 12, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2024
✔ NPI 1104317494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MA · DN1858229
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License DL13614 (MA)
16 HAVERHILL ST STE 1, Andover, MA 01810
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDOVER FAMILY DENTAL
Dentist
16 HAVERHILL ST STE 1
ANDOVER, MA 01810
Essex County (978) 470-2233

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pauline Reilly-lake's NPI number?

The NPI number for Pauline Reilly-lake is 1104317494. It was assigned to this individual provider in the NPPES registry on May 23, 2018.

Where is Pauline Reilly-lake located?

Pauline Reilly-lake practices at 16 Haverhill St Ste 1, Andover, MA 01810. The listed phone number is (978) 699-9051.

What is Pauline Reilly-lake's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Pauline Reilly-lake accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Pauline Reilly-lake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pauline Reilly-lake was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.