Laurel Lakes Pediatric Dentistry is a Pediatric Dental Clinic in Laurel, Maryland. It is located at 13964 Baltimore Ave, Suite C6, Laurel, MD and its contact number is 202-276-0649. The authorized person for Laurel Lakes Pediatric Dentistry is Antionette C. Wilson
who is Owner of the clinic and their contact number is 202-276-0649. The primary license number for Laurel Lakes Pediatric Dentistry is 13970 (Pediatric Dentistry) in Maryland. Laurel Lakes Pediatric Dentistry Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Laurel Lakes Pediatric Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Laurel Lakes Pediatric Dentistry
Specialization:
Pediatric Dentistry
Clinic Address:
13964 Baltimore Ave, Suite C6, Laurel, Maryland, 20707
Phone:
202-276-0649
Fax:
631-857-7860
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Antionette C. Wilson
Position:
Owner
Contact Number:
202-276-0649
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Laurel Lakes Pediatric Dentistry clinic are as mentioned below.
NPI Number:
1649717638
NPI Enumeration Date:
27 Jan, 2017
NPI Last Update On:
20 Jul, 2018
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Laurel Lakes Pediatric Dentistry are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
13970
Maryland
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
13970
Other
Maryland
Dental License
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Laurel Lakes Pediatric Dentistry 401 Church St, Suite 2210 Nashville, Tennessee
Zip:
37219-2310
Phone Number:
615-988-2627
Fax Number:
631-857-7860
Patients can reach Laurel Lakes Pediatric Dentistry at 13964 Baltimore Ave, Suite C6, Laurel, Maryland or can call to book an appointment on 202-276-0649. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.