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 provides 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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