Provider Demographics
NPI:1457665697
Name:KERPEL, LAUREN JANET (DDS)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:JANET
Last Name:KERPEL
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 1:300 MAMARONECK AVE APT 823
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-6405
Mailing Address - Country:US
Mailing Address - Phone:914-400-7070
Mailing Address - Fax:
Practice Address - Street 1:11 BANKS FARM RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NY
Practice Address - Zip Code:10506-1914
Practice Address - Country:US
Practice Address - Phone:914-234-6455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0550311223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics