Provider Demographics
NPI:1598144958
Name:HAYDEN, LAUREN (DDS)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:
Last Name:HAYDEN
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 1:7112 BRASWELL LN
Mailing Address - Street 2:
Mailing Address - City:ETHEL
Mailing Address - State:LA
Mailing Address - Zip Code:70730-4422
Mailing Address - Country:US
Mailing Address - Phone:225-405-3221
Mailing Address - Fax:
Practice Address - Street 1:2312 FALSE RIVER DR
Practice Address - Street 2:SUITE C
Practice Address - City:NEW ROADS
Practice Address - State:LA
Practice Address - Zip Code:70760-2508
Practice Address - Country:US
Practice Address - Phone:225-638-3384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-19
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA65491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice