Lauren Simon Sejan, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN27649 Issued in FL

Practice address

101 4TH Ave Ste B
Crestview, FL 32539-2401

Phone

(850) 384-9171

NPI assigned

Apr 30, 2021

Last updated

Feb 28, 2023By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kids Dental Place

  dba Crestview Wild Smiles

  • Pediatric Dentistry
  • Crestview, FL
  • NPI 1093401101
  NPD

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1952984742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 4TH AVE STE B",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325392401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 4TH AVE STE B",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325392401",
            "telephone_number": "850-384-9171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 E Olive Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325147237",
            "country_code": "US",
            "telephone_number": "850-477-1722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON SEJAN",
        "first_name": "LAUREN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600741",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN27649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Silva Arismendi
• Julio A Silva, MD
• Silvercrest Operating Investments LLC
• Shawn Victor Sima, PA-C
• Cheyenne Carol Simmons
• Zaria Singleton-Ledet
• Siwicki & Ricciardi,P.L. (Emerald Coast Podiatry & Wound Care Center)
• Alyssa Slattery, WHNP-BC
• Jared Steven Sleeman, IDMT
• Sarah Slimski

• Pediatric Dentistry in Crestview, FL
• Providers in Crestview, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.