Provider Demographics
NPI:1780170894
Name:JONES, LAUREN (DMD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:MISS
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5400 KAPLAN DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27606-2409
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6330 FALLS OF NEUSE RD STE
Practice Address - Street 2:STE107
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6810
Practice Address - Country:US
Practice Address - Phone:919-981-6021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-02
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11114122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist