Provider Demographics
NPI:1689835076
Name:WHENRY, LAUREN M (DDS)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:M
Last Name:WHENRY
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 1:11916 S. OXFORD STE. 103
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137
Mailing Address - Country:US
Mailing Address - Phone:918-994-7645
Mailing Address - Fax:918-893-4028
Practice Address - Street 1:11916 S. OXFORD STE. 103
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137
Practice Address - Country:US
Practice Address - Phone:918-994-7645
Practice Address - Fax:918-893-4028
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK60471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice