Healthcare Provider Details
I. General information
NPI: 1013038884
Provider Name (Legal Business Name): LAUREN WILKINSON SHEFRIN D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/02/2007
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
285 ELM ST STE 200
CUMMING GA
30040-8233
US
IV. Provider business mailing address
5015 SHELBOURNE DR
CUMMING GA
30041-5111
US
V. Phone/Fax
- Phone: 770-887-2915
- Fax:
- Phone: 305-986-6874
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | DN013641 |
| License Number State | GA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | DN15763 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: