Lauren Taylor Flint, D.M.D.
Individual provider Active NPI Dentist · Shiloh, IL
NPI 1669638052 · NPPES record last updated Sep 15, 2008
Key facts
- NPI
- 1669638052
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 019.027757 (IL)
- Practice address
- 3750 Green Mount Crossing Dr
Shiloh, IL 62269-7293 - Phone
- (618) 530-4546
- NPI assigned
- Aug 5, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.027757 | IL | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.027757 | IL | Yes |
Addresses
Primary practice location
3750 Green Mount Crossing Dr
Shiloh, IL 62269-7293
Mailing address
3750 Green Mount Crossing Dr
Shiloh, IL 62269-7293
Other providers in Shiloh, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.