Provider Demographics
NPI:1265779458
Name:WINDHORST, LAUREN ASHLEY (DDS, MS)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:ASHLEY
Last Name:WINDHORST
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Gender:F
Credentials:DDS, MS
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Mailing Address - Street 1:803 NORTH 36TH STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506
Mailing Address - Country:US
Mailing Address - Phone:816-279-8300
Mailing Address - Fax:816-279-2579
Practice Address - Street 1:803 N 36TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-2978
Practice Address - Country:US
Practice Address - Phone:816-279-8300
Practice Address - Fax:816-279-2579
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-09
Last Update Date:2015-07-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO20100162951223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics