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PEMBERTON DENTAL PC
NPI 1871464297
Dentist - General Practice in Lawrence, MA

Active since September 17, 2025
100 AMESBURY ST STE 207, LAWRENCE, MA 01840(978) 786-7811 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pemberton Dental Pc NPPES

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

PEMBERTON DENTAL PC (NPI 1871464297) is a healthcare organization registered as a general practice in Lawrence, Massachusetts and active in the NPI registry since September 2025. The organization lists Dong Won Kim, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1871464297
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePEMBERTON DENTAL PC
Location Address100 AMESBURY ST STE 207Lawrence, MA 01840-1321
Mailing Address7 Partridge Hill RdAndover, MA 01810-5809 · (617) 888-3400
Phone(978) 786-7811
Organization SubpartNo
Authorized OfficialDong Won KimOwner/dentist · (617) 888-3400
Enumeration DateSeptember 17, 2025
NPPES CertifiedSeptember 17, 2025
✔ NPI 1871464297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
100 AMESBURY ST STE 207, Lawrence, MA 01840
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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.

PEMBERTON DENTAL ASSOCIATES
Dentist (Prosthodontics)
100 AMESBURY ST STE 207
LAWRENCE, MA 01840
Essex County (978) 687-7811

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 Pemberton Dental PC's NPI number?

The NPI number for Pemberton Dental PC is 1871464297. It was assigned to this organization in the NPPES registry on September 17, 2025.

Where is Pemberton Dental PC located?

Pemberton Dental PC is located at 100 Amesbury St Ste 207, Lawrence, MA 01840. The listed phone number is (978) 786-7811.

What is Pemberton 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 Pemberton Dental PC was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.