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GREAT POND DENTAL PC
NPI 1194088096
Dentist - General Practice in Wakefield, MA

Active since June 17, 2012
202 LOWELL ST, WAKEFIELD, MA 01880(781) 245-1731(781) 245-2325 Get Directions Write a Review

NPPES record last updated: August 27, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Great Pond Dental Pc NPPES

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

GREAT POND DENTAL PC (NPI 1194088096) is a healthcare organization registered as a general practice in Wakefield, Massachusetts and active in the NPI registry since June 2012. The organization lists Inna O Komarovskaya, General Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1194088096
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGREAT POND DENTAL PC
Location Address202 LOWELL STWakefield, MA 01880-1017
Mailing Address202 Lowell StWakefield, MA 01880-1017 · (781) 245-1731 · Fax (781) 245-2325
Phone(781) 245-1731
Fax(781) 245-2325
Organization SubpartNo
Authorized OfficialInna O KomarovskayaGeneral Dentist/owner · (781) 245-1731
Enumeration DateJune 17, 2012
Last NPPES UpdateAugust 27, 2012
✔ NPI 1194088096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MA · DN21849
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.

202 LOWELL ST, Wakefield, MA 01880
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MR. JOHN W DENLEY DMD
Dentist (General Practice)
202 LOWELL ST
WAKEFIELD, MA 01880
Middlesex County (781) 245-1731

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 Great Pond Dental PC's NPI number?

The NPI number for Great Pond Dental PC is 1194088096. It was assigned to this organization in the NPPES registry on June 17, 2012.

Where is Great Pond Dental PC located?

Great Pond Dental PC is located at 202 Lowell St, Wakefield, MA 01880. The listed phone number is (781) 245-1731.

What is Great Pond Dental PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Great Pond Dental PC was last updated on August 27, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.