Individual
PAULINE P REILLY-LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
16 HAVERHILL ST STE 1, ANDOVER, MA 01810-3000
(978) 699-9051
Mailing address
18 MOUNT PLEASANT AVE, IPSWICH, MA 01938-2116
(978) 790-8278
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1858229
MA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DL13614
MA
Other
Enumeration date
05/23/2018
Last updated
01/12/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us