MEDICARE: LAUREN DAILEY

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	41585	TX

General Provider Information

NPI Number	:	1366147498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN DAILEY

Provider Business Mailing Address
First Line	:	6400 SPOONWOOD LN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76137-2063
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6400 SPOONWOOD LN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76137-2063
Country	:	US
Telephone Number	:	817-306-7474
Fax Number	:

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

Provider Enumeration Date	:	03/30/2023
Last Update Date	:	07/06/2025

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Directions to “ LAUREN DAILEY ” Practice Location

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