Bales, Lauren Jean

Bales, Lauren Jean is an individual health care provider with primary practice located at 1604 C North Main Street , Mountain Grove MO 65711-0000. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Bales, Lauren Jean can be contacted via phone (417) 926-1209.

Contact Information

Primary practice address
1604 C North Main Street Mountain Grove MO 65711-0000
Phone: (417) 926-1209
Fax: (417) 683-1602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2003001288 Missouri

Profile Details

NPI number 1851501423
LBN Legal business name Bales, Lauren Jean
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Feb 3rd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851501423 NPPES
Missouri MEDICAID 1851501423

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