Individual provider · NPI-1

Dr. Lauren Bakos, DDS

Dentist, General Practice · Morgantown, WV

NPI number1124656491
StatusActive
Last updated in NPPESNov 18, 2021

Details

NPI
1124656491
Entity type
Individual (NPI-1)
Name
Dr. Lauren Bakos
Credential
DDS
Sex
Female
Sole proprietor
No
Enumeration date
Mar 31, 2020
Certification date
Nov 18, 2021
Last updated
Nov 18, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice4469WVYes

Practice location

Department Of Oral Surgery Room 1200 Hsc North
Morgantown, WV 26506

Phone 304-293-2841 · Fax 304-293-3674

Mailing address

6012 Woodland Bluff Rd
Morgantown, WV 26508-9402

Phone 304-906-1544

Other practice locations

6012 Woodland Bluff Rd
Morgantown, WV 26508-9402

Phone 304-906-1544

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