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

Weston Pediatric Dental PC

Organization Dentist · NPI 1790093490

Weston Pediatric Dental PC is a Dentist in Weston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2010.

Licensed in
MA
In the registry since
2010
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

450 Boston Post Rd
Weston, MA 02493-1529
Phone: (781) 893-3003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 20782 (MA)
Dentist Taxonomy 122300000X (MA)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 18840 (MA)

Record details

NPI number1790093490
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Reem Antun Lago — Dentist/Owner · (781) 893-3003
NPI enumeratedSeptember 16, 2010
Last updated in NPPESSeptember 16, 2010
Mailing address450 Boston Post Rd, Weston, MA 02493-1529

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