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Pauline P Reilly-Lake

Dentist - General Practice Oral & Maxillofacial Surgeon

165 High St
Newburyport , Massachusetts 01950-3961

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Pauline P Reilly-Lake

Dentist - General Practice Oral & Maxillofacial Surgeon

165 High St
Newburyport , Massachusetts 01950-3961

(978) 790-8278

Write a Review Save Call

Pauline P Reilly-Lake

Dentist - General Practice Oral & Maxillofacial Surgeon

165 High St
Newburyport , Massachusetts 01950-3961

(978) 790-8278 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • General Practice
  • Oral & Maxillofacial Surgeon

Languages spoken

  • English

Location

165 High St Newburyport , Massachusetts 01950-3961

First Address

  • Pauline P Reilly-Lake
  • 18 Mount Pleasant Ave
  • Ipswich, MA
  • Zip : 01938-2116
  • Phone : (978) 790-8278

Second Address

  • Pauline P Reilly-Lake
  • 165 High St
  • Newburyport, MA
  • Zip : 01950-3961
  • Phone : (978) 465-3273

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FAQs


Where did Pauline P Reilly-Lake attend graduate school?

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Where did Pauline P Reilly-Lake do her residency?

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Where did Pauline P Reilly-Lake do her fellowship?

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Is Pauline P Reilly-Lake board certified?

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What type of doctor is Pauline P Reilly-Lake

Dentist - General Practice

In what state does Pauline P Reilly-Lake practice in?

Massachusetts

Where is Pauline P Reilly-Lake ’s practice located?

165 High St , Newburyport, Massachusetts, 01950-3961

What is Pauline P Reilly-Lake ’s gender?

Female

Is Pauline P Reilly-Lake a sole practitioner?

No

Is Pauline P Reilly-Lake accepting new patients?

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What languages does Pauline P Reilly-Lake speak?

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Does Pauline P Reilly-Lake accept insurance?

Yes, Pauline P Reilly-Lake accepts insurance

Does Pauline P Reilly-Lake offers telemedicine?

Pauline P Reilly-Lake has not indicated if she offers telemedicine

What is Pauline P Reilly-Lake ’s professional license number?

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What is Pauline P Reilly-Lake ’s NPI number?

1104317494

Does Pauline P Reilly-Lake have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223G0001X General Practice DN1858229 MA
Y 213EG0000X General Practice DN1858229 MA
N 204E00000X Oral & Maxillofacial Surgeon DL13614 MA

National Provider Identifier

NPI 1104317494
Provider Name Pauline P Reilly-Lake
First Address Ipswich, MA 01938-2116
Second Address Newburyport, MA 01950-3961
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 23/05/2018
Last Update Date 27/01/2022

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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