Pemberton Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PEMBERTON DENTAL PC

Practice address

100 Amesbury St Ste 207
Lawrence, MA 01840-1321

Phone

(978) 786-7811

NPI assigned

Sep 17, 2025

Organization subpart

No

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

Authorized official

Name

Dong Won Kim, D.M.D

Title

Owner/Dentist

Phone

(617) 888-3400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1871464297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PARTRIDGE HILL RD",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018105809",
            "telephone_number": "617-888-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AMESBURY ST STE 207",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401321",
            "telephone_number": "978-786-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEMBERTON DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DONG",
        "authorized_official_middle_name": "WON",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "617-888-3400",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seungwhan Pee, M.D.
• Laurys Samille Peguero
• Rochell Peguero
• Wilda Masiel Peguero
• Pemberton Dental Associates
• Maribel Pena Almanzar
• Ingrid Pena de Carreno, DMD
• Angelin Isabel Pena
• Candy Pena
• Julissa Pena

• General Practice Dentistry in Lawrence, MA
• Providers in Lawrence, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.