Provider Demographics
NPI:1144105495
Name:SMITH, LAUREN TAYLOR (DMD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:TAYLOR
Last Name:SMITH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 COUNTY ROAD 801
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:AR
Mailing Address - Zip Code:72437-8592
Mailing Address - Country:US
Mailing Address - Phone:870-273-6306
Mailing Address - Fax:
Practice Address - Street 1:707 LINWOOD DR
Practice Address - Street 2:
Practice Address - City:PARAGOULD
Practice Address - State:AR
Practice Address - Zip Code:72450-4899
Practice Address - Country:US
Practice Address - Phone:870-239-2285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR4865122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist