Pediatric Dental of Wayland

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PEDIATRIC DENTAL OF WAYLAND

Practice address

96 Andrew Ave
Wayland, MA 01778-3025

Phone

(508) 358-2200

Fax

(508) 358-2206

NPI assigned

Feb 19, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Reem Antun Lago, DMD

Title

Dentist

Phone

(617) 947-4971

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1639538523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 ANDREW AVE",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017783025",
            "telephone_number": "508-358-2200",
            "fax_number": "508-358-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 ANDREW AVE",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017783025",
            "telephone_number": "508-358-2200",
            "fax_number": "508-358-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL OF WAYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-19",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "ANTUN LAGO",
        "authorized_official_first_name": "REEM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "617-947-4971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Pansovoy
• Winifred B Parker, M.D.
• Parmenter Vna & Community Care, Inc
• Parmenter Vna & Community Care, Inc.
• Parmenter Vna and Community Care, Inc.
• Ellen M Penso, M.D.
• Phoua Curley
• Patricia C. Platika, CRNA
• Play2Learn LLC
• Monika Pszczola, LPC

• Pediatric Dentistry in Wayland, MA
• Providers in Wayland, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.