MEDICARE: DR. LAUREN HEDGES

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	1223G0001X	General Practice Dentistry	12013798A	IN

General Provider Information

NPI Number	:	1336879212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAUREN HEDGES

Provider Business Mailing Address
First Line	:	9291 AMBERLEIGH DR
Second Line	:
City	:	PLAINFIELD
State	:	IN
Zip	:	46168-4724
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2236 N MITTHOEFER RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46229-1791
Country	:	US
Telephone Number	:	317-897-5093
Fax Number	:

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

Provider Enumeration Date	:	06/14/2022
Last Update Date	:	06/14/2022

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Directions to “ DR. LAUREN HEDGES ” Practice Location

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