MEDICARE: DR. LAUREN VARGAS KLASSMAN DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DN23203	FL

General Provider Information

NPI Number	:	1164953634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAUREN VARGAS KLASSMAN DMD

Provider Business Mailing Address
First Line	:	2665 N HIATUS RD
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33026-1372
Country	:	US
Telephone Number	:	305-892-2960
Fax Number	:

Provider Business Practice Location Address
First Line	:	2665 N HIATUS RD
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33026-1372
Country	:	US
Telephone Number	:	954-228-0528
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2017
Last Update Date	:	09/25/2025

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