Lauren Hodge Jain, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

11092 Issued in TN

Practice address

215 Teaco Rd
Kennett, MO 63857-3236

Phone

(573) 888-5936

NPI assigned

Jul 24, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Dr. Lauren Michelle Hodge Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mt. Juliet Dental Group, PC

  • Dentist
  • Mt. Juliet, TN
  • NPI 1720537491
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1053964445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 TEACO RD",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573236",
            "telephone_number": "573-888-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 TEACO RD",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573236",
            "telephone_number": "573-888-5936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4155 N Mount Juliet Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Juliet",
            "state": "TN",
            "postal_code": "37122",
            "country_code": "US",
            "telephone_number": "615-241-8023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2654 Thomasville Rd",
            "address_purpose": "LOCATION",
            "city": "Pocahontas",
            "state": "AR",
            "postal_code": "724551202",
            "country_code": "US",
            "telephone_number": "870-892-2010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2654 Thomasville Rd",
            "address_purpose": "LOCATION",
            "city": "Pocahontas",
            "state": "AR",
            "postal_code": "724551202",
            "country_code": "US",
            "telephone_number": "870-892-2010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIN",
        "first_name": "LAUREN",
        "middle_name": "HODGE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "11092",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "4379",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2020012234",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "HODGE",
            "middle_name": "MICHELLE",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Jackson
• Jessica Leah Jackson, CWH, CPS
• Kyendia Eternity Jackson
• Wesley Eric Jackson
• Dave K Jain, DO
• Jessica Jamerson
• Jordan A Jamison
• Alex Camille Jefferson, PMHNP-BC
• Breanca Michelle Jefferson
• Jerrica Leigh Jefferson

• Dentist in Kennett, MO
• Providers in Kennett, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.