Lauren Bollenback, DMD - Dentist in Philadelphia, PA

Lauren Bollenback, DMD is a Dentist - Pediatric Dentistry based in Philadelphia, Pennsylvania. Lauren Bollenback is licensed to practice in Pennsylvania (license number DS044380) and her current practice location is 240 S 40th St, Philadelphia, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at (215) 898-8965.

NPI number for Lauren Bollenback is 1275850687 and her current mailing address is 1425 Kater St, Philadelphia, Pennsylvania. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275850687.

Contact Information

Lauren Bollenback, DMD
240 S 40th St,
Philadelphia, PA 19104-6030
(215) 898-8965
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameLauren Bollenback
GenderFemale
SpecialityDentist - Pediatric Dentistry
Location240 S 40th St, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1275850687
  • Provider Enumeration Date: 04/24/2010
  • Last Update Date: 01/30/2024

Medical Identifiers

Medical identifiers for Lauren Bollenback such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275850687NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry 8925 (Kentucky)Secondary
1223P0221XDentist - Pediatric Dentistry 9380 (North Carolina)Secondary
1223P0221XDentist - Pediatric Dentistry 12013473A (Indiana)Secondary
1223P0221XDentist - Pediatric Dentistry DS044380 (Pennsylvania)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lauren Bollenback is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lauren Bollenback, DMD
1425 Kater St,
Philadelphia, PA 19146-1682

Ph: () -
Lauren Bollenback, DMD
240 S 40th St,
Philadelphia, PA 19104-6030

Ph: (215) 898-8965

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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