Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Laurel Lakes Pediatric Dentistry, LLC

Organization Pediatric Dentistry · NPI 1649717638

Laurel Lakes Pediatric Dentistry, LLC is a Pediatric Dentistry in Laurel, Maryland. Licensed in Maryland. Registered with an NPI since 2017.

Licensed in
MD
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

13964 Baltimore Ave Ste C6
Laurel, MD 20707
Phone: (202) 276-0649
Fax: (631) 857-7860
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 13970 (MD)

Record details

NPI number1649717638
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antionette Wilson — Owner · (202) 276-0649
Other names Laurel Lakes Pediatric Dentistry; Laurel Lakes Pediatric Dentistry
NPI enumeratedJanuary 27, 2017
Last updated in NPPESJuly 20, 2018
Mailing address401 Church St, Suite 2210, Nashville, TN 37219-2310

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