Lauren Jean Bostanche, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1002694 Issued in WI

Practice address

951 Main St
Union Grove, WI 53182-1074

Phone

(262) 878-2422

NPI assigned

Jun 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1295304574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23373 98TH ST",
            "city": "SALEM",
            "state": "WI",
            "postal_code": "531688924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 MAIN ST",
            "city": "UNION GROVE",
            "state": "WI",
            "postal_code": "531821074",
            "telephone_number": "262-878-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTANCHE",
        "first_name": "LAUREN",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1002694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savana Bell
• Aileen Benjakul, MD
• Angela Ellen Beumel, PSYD
• Mary E Bienemann, MD
• Abigail Bird
• Valerie Buisse, MS, LPC
• Lana R. Buttke, NP
• Brandon Kevin Caldwell
• Jerry Lee Ceilesh, D.D.S.
• Trisha Commodore, RN

• Dentist in Union Grove, WI
• Providers in Union Grove, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.