PEDIATRIC DENTAL OF WAYLAND
NPI 1639538523
Dentist - Pediatric Dentistry in Wayland, MA

Q: What is Pediatric Dental Of Wayland's NPI number?

The NPI number for Pediatric Dental Of Wayland is 1639538523. It was assigned to this organization in the NPPES registry on February 19, 2016.

Q: What is Pediatric Dental Of Wayland's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since February 19, 2016

96 ANDREW AVE, WAYLAND, MA 01778(508) 358-2200(508) 358-2206 Get Directions Write a Review

NPPES record last updated: February 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Pediatric Dental Of Wayland NPPES

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

PEDIATRIC DENTAL OF WAYLAND (NPI 1639538523) is a healthcare organization registered as a pediatric dentistry in Wayland, Massachusetts and active in the NPI registry since February 2016. The organization lists Reem Antun Lago, Dentist, as its authorized official.

NPPES Registry Identity

NPI1639538523

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NamePEDIATRIC DENTAL OF WAYLAND

Location Address96 ANDREW AVEWayland, MA 01778-3025

Mailing Address96 Andrew AveWayland, MA 01778-3025 · (508) 358-2200 · Fax (508) 358-2206

Phone(508) 358-2200

Fax(508) 358-2206

Organization SubpartNo

Authorized OfficialReem Antun LagoDentist · (617) 947-4971

Enumeration DateFebruary 19, 2016

✔ NPI 1639538523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

96 ANDREW AVE, Wayland, MA 01778

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Pediatric Dental Of Wayland's NPI number?

The NPI number for Pediatric Dental Of Wayland is 1639538523. It was assigned to this organization in the NPPES registry on February 19, 2016.

Where is Pediatric Dental Of Wayland located?

Pediatric Dental Of Wayland is located at 96 Andrew Ave, Wayland, MA 01778. The listed phone number is (508) 358-2200.

What is Pediatric Dental Of Wayland's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Pediatric Dental Of Wayland was last updated on February 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.