Provider Demographics
NPI:1144609116
Name:BORDER, LAUREN (DDS)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:BORDER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 CADILLAC DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5080
Mailing Address - Country:US
Mailing Address - Phone:615-373-5914
Mailing Address - Fax:
Practice Address - Street 1:6 CADILLAC DR
Practice Address - Street 2:SUITE 130
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5080
Practice Address - Country:US
Practice Address - Phone:615-373-5914
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-24
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN100591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice