# LAUREN HUMPHREYS, D.D.S., P.A.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851034169
- **Authorized official:** DR. LAUREN ANTONIA HUMPHREYS DDS (PRESIDENT)
- **Authorized official phone:** (850) 814-2587

## Contact information

- **Practice address:** 14595 PHILIPS HWY \# 1, JACKSONVILLE, FL 32256-3709
- **Practice address phone:** (904) 290-8766
- **Mailing address:** 418 SKATE RD, ATLANTIC BEACH, FL 32233-3822
- **Mailing address phone:** (850) 814-2587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 04/14/2022
- **Last updated:** 02/27/2023