Lauren Gabrielle Alfonso Santos, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

11795 Issued in TN

Practice address

609 Paul Huff Pkwy NW
Cleveland, TN 37312-2970

Phone

(423) 244-0783

NPI assigned

Oct 20, 2020

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

Practice roles

Locations

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.

• Tennessee Dental Professionals, PC

  dba Mouse Creek Dental Care

  • General Practice Dentistry
  • Cleveland, TN
  • NPI 1023572096
  NPD

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1346849452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 HERRINGBONE CT UNIT 28",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370644095",
            "telephone_number": "810-730-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 PAUL HUFF PKWY NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373122970",
            "telephone_number": "423-244-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "LAUREN",
        "middle_name": "GABRIELLE ALFONSO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105332",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "11795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Sanchez
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• Stephanie M Sanderson, MD
• Peggy G Sandidge, MED LPC MHSP
• Sandra J. McKee Dba Quality Home Care
• Sarath B Gangavarapu MD PC (Pinnacle Psychiatric Services)
• Julie Katelyn Savage, ATC
• Savior Mobile Life Tracker
• Megan L Scarborough, PHARMD
• Scenic City Smiles PLLC (Scenic City Orthodontics of Cleveland)

• Dentist in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.