NPI 1841608197 · live from the CMS NPI Registry
Hani Ahdab, DDS, MS
Dentist, Orthodontics and Dentofacial Orthopedics in Lafayette, IN. National Provider Identifier 1841608197, active.
NPI record
| NPI | 1841608197 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1209 Winthrop Ave, Lafayette, IN 47909 |
| Practice phone | 765-477-7722 |
| Enumerated | July 31, 2014 |
| Last updated | April 8, 2017 |
| Sole proprietor | Yes |
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.