Provider Demographics
NPI:1831761147
Name:LAUREN STEVENOT, DDS, LLC
Entity type:Organization
Organization Name:LAUREN STEVENOT, DDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:ANGELINA
Authorized Official - Last Name:STEVENOT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:937-672-3515
Mailing Address - Street 1:1100 BONNELL ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215
Mailing Address - Country:US
Mailing Address - Phone:513-563-6936
Mailing Address - Fax:513-563-1008
Practice Address - Street 1:1100 BONNELL ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215
Practice Address - Country:US
Practice Address - Phone:513-563-6936
Practice Address - Fax:513-563-1008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-15
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental