Provider Demographics
NPI:1679955439
Name:GREEN, LAUREN (DMD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:
Last Name:GREEN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNC DEPARTMENT OF PEDIATRIC DENTISTRY
Mailing Address - Street 2:232 BRAUER HALL, CAMPUS BOX #7450
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-0001
Mailing Address - Country:US
Mailing Address - Phone:919-537-3785
Mailing Address - Fax:919-537-3950
Practice Address - Street 1:UNC DEPARTMENT OF PEDIATRIC DENTISTRY
Practice Address - Street 2:232 BRAUER HALL, CAMPUS BOX #7450
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-0001
Practice Address - Country:US
Practice Address - Phone:919-537-3785
Practice Address - Fax:919-537-3950
Is Sole Proprietor?:No
Enumeration Date:2015-06-29
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101201223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry