Provider Demographics
NPI:1497010235
Name:EDWARDS, LAUREN OGLESBY (DDS)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:OGLESBY
Last Name:EDWARDS
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 1:5200 BUFFALO GAP RD
Mailing Address - Street 2:UNIT E
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-4171
Mailing Address - Country:US
Mailing Address - Phone:325-691-1440
Mailing Address - Fax:325-691-1441
Practice Address - Street 1:5200 BUFFALO GAP RD
Practice Address - Street 2:UNIT E
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-4171
Practice Address - Country:US
Practice Address - Phone:325-691-1440
Practice Address - Fax:325-691-1441
Is Sole Proprietor?:No
Enumeration Date:2012-07-09
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX281491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice