Provider Demographics
NPI:1417593278
Name:AUST, LAUREN HOPE (DDS)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:HOPE
Last Name:AUST
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 1:16 S PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:NJ
Mailing Address - Zip Code:07044-1508
Mailing Address - Country:US
Mailing Address - Phone:973-239-5273
Mailing Address - Fax:
Practice Address - Street 1:16 S PROSPECT ST
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:NJ
Practice Address - Zip Code:07044-1508
Practice Address - Country:US
Practice Address - Phone:973-239-5273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-26
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI027826001223G0001X
NJ22DI027826011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice