NPI 1821534967 · live from the CMS NPI Registry
Hani Ahdab DDS, LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Lafayette, IN. National Provider Identifier 1821534967, active.
NPI record
| NPI | 1821534967 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1209 Winthrop Ave, Lafayette, IN 47909 |
| Practice phone | 765-477-7722 |
| Mailing address | 328 Stonehedge Dr, Carmel, IN 46032 |
| Enumerated | January 12, 2017 |
| Last updated | January 12, 2017 |
| Authorized official | Hani Ahdab, President |
| Other names | Lafayette Orthodontics |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 12012631A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.