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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAUREN BOLLENBACK, DMD

Active Sole Proprietor

LAUREN BOLLENBACK, DMD is a Pediatric Dentistry healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1275850687 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · PHILADELPHIA, PA

Registration Details

NPI Number
1275850687
Provider Type
Individual
Gender
Female
NPI Issued
Apr 24, 2010 (16.292630851781 yrs)
Last Updated
Jan 30, 2024
Licenses
8925 (KY)
9380 (NC)
12013473A (IN)
DS044380 (PA)
Sole Proprietor
Yes

Practice Information

Address
240 S 40TH ST
PHILADELPHIA, PA, 191046030
Browse PA providers · Browse ZIP 19104
Phone
2158988965
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
Pediatric Dentistry
Additional Specialty
Pediatric Dentistry
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Providers in PHILADELPHIA, PA

Name Credential NPI
MICHAEL ROSENBAUM DMD 1104810530
CLINTON RUTHERFORD DMD 1740274174
ALEGRIA DAGOSTINO DMD 1386638716
DR. ALLISON ROSE DMD 1558355982
SHARON K HAMILTON DMD 1164416525
MARK GOLDSTEIN DDS 1144214511
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.