MEDICARE: DR. LAUREN COLLINS GADDIS DDS

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	110585	CA

General Provider Information

NPI Number	:	1811729742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAUREN COLLINS GADDIS DDS

Provider Business Mailing Address
First Line	:	3175 DATA DR APT 3310
Second Line	:
City	:	RANCHO CORDOVA
State	:	CA
Zip	:	95670-6456
Country	:	US
Telephone Number	:	916-990-6821
Fax Number	:

Provider Business Practice Location Address
First Line	:	4022 SUNRISE BLVD STE 160
Second Line	:
City	:	RANCHO CORDOVA
State	:	CA
Zip	:	95742-6908
Country	:	US
Telephone Number	:	916-246-1108
Fax Number	:

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

Provider Enumeration Date	:	08/19/2024
Last Update Date	:	08/19/2024

Similar Medicare Providers

1174120158 — AMERA AL-FALEH DDS
Practice Location Address:

4022 SUNRISE BLVD STE 160
RANCHO CORDOVA, CA
95742-6908

Practice Phone: 916-246-1108
Practice Fax:

1093592107 — JOGDEEP SINGH JAGPAL DDS
Practice Location Address:

4022 SUNRISE BLVD STE 160
RANCHO CORDOVA, CA
95742-6908

Practice Phone: 916-246-1108
Practice Fax:

1992568430 — CHANEL HIBA GEORGE DDS
Practice Location Address:

4022 SUNRISE BLVD STE 160
RANCHO CORDOVA, CA
95742-6908

Practice Phone: 916-246-1108
Practice Fax:

1801773577 — MADIHA FATIMA DDS
Practice Location Address:

4022 SUNRISE BLVD STE 160
RANCHO CORDOVA, CA
95742-6908

Practice Phone: 916-246-1108
Practice Fax:

1689661647 — JOHN WILLIAM STOVER MD
Practice Location Address:

6908 OERSTED RD NE
RIO RANCHO, NM
87144-6573

Practice Phone: 505-205-1273
Practice Fax:

1740536283 — CASA DE SHALOM, LLC
Practice Location Address:

4102 LAS CIMBRAS CT SE
RIO RANCHO, NM
87124-6908

Practice Phone: 505-715-9649
Practice Fax: 505-994-9430

Directions to “ DR. LAUREN COLLINS GADDIS DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.