Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lauren Bollenback, DMD

Individual provider Pediatric Dentistry · NPI 1275850687

Lauren Bollenback, DMD is a Pediatric Dentistry in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Indiana, Kentucky, North Carolina and Pennsylvania.

Licensed in
IN, KY, NC, PA
In the registry since
2010
Specialties on file
4
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

240 S 40th St
Philadelphia, PA 19104-6030
Phone: (215) 898-8965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DS044380 (PA)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 8925 (KY)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 9380 (NC)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 12013473A (IN)

Record details

NPI number1275850687
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 24, 2010
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024

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