Provider Demographics
NPI:1528957834
Name:WHEELER, LAUREN HARDEBECK (DDS)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:HARDEBECK
Last Name:WHEELER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:MARIE
Other - Last Name:HARDEBECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:103 PINE CT
Mailing Address - Street 2:
Mailing Address - City:HEBRON
Mailing Address - State:IN
Mailing Address - Zip Code:46341-8886
Mailing Address - Country:US
Mailing Address - Phone:317-518-4038
Mailing Address - Fax:
Practice Address - Street 1:1192 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-2715
Practice Address - Country:US
Practice Address - Phone:219-226-3189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12014832A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist