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

Pauline P Reilly-Lake, DMD

Individual provider Oral & Maxillofacial Surgery (D.M.D.) · NPI 1104317494

Pauline P Reilly-Lake, DMD is an Oral & Maxillofacial Surgery (D.M.D.) in Andover, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2018.

Licensed in
MA
In the registry since
2018
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

16 Haverhill St Ste 1
Andover, MA 01810-3000
Phone: (978) 699-9051
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN1858229 (MA)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence DL13614 (MA)

Record details

NPI number1104317494
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 23, 2018
Last updated in NPPESJanuary 12, 2024
Certification dateJanuary 12, 2024