| Lakewood Family Dental Of Lafayette Inc | |
|
2 Executive Dr Lafayette IN 47905-4878 | |
| (765) 807-6666 | |
| Not Available |
| Full Name | Lakewood Family Dental Of Lafayette Inc |
|---|---|
| Speciality | Dentist |
| Location | 2 Executive Dr, Lafayette, Indiana |
| Authorized Official Name and Position | Srinivasulu Kakollu (PRESIDENT) |
| Authorized Official Contact | 7658076666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Family Dental Of Lafayette Inc 2 Executive Dr Lafayette IN 47905-4878 Ph: (765) 807-6666 | Lakewood Family Dental Of Lafayette Inc 2 Executive Dr Lafayette IN 47905-4878 Ph: (765) 807-6666 |
| NPI Number | 1487026431 |
|---|---|
| Provider Enumeration Date | 10/28/2015 |
| Last Update Date | 10/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487026431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12012121A (Indiana) | Primary |
J Matthew Cronkhite Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3667 Braddock Dr Ste B, Lafayette, IN 47909 Phone: 765-471-6025 | |
Aspen Dental Group, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3725 Rome Dr Ste A, Lafayette, IN 47905 Phone: 765-447-2725 Fax: 765-449-2373 | |
Dental Care Of Lafayette Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 38 N 23rd St, Lafayette, IN 47904 Phone: 765-447-0959 Fax: 765-447-0796 | |
Allcare Dental & Dentures Of In Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 S Creasy Ln, Suite 1730, Lafayette, IN 47905 Phone: 765-807-7110 Fax: 765-807-7113 | |
Vibrant Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Professional Ct Ste B, Lafayette, IN 47905 Phone: 765-448-4242 | |
Riggs Community Health Center Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1716 Hartford St, Lafayette, IN 47904 Phone: 765-742-1567 Fax: 765-429-2700 | |
Koala Center For Sleep Disorders In-2 Dental Clinic Medicare: Medicare Enrolled Practice Location: 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 Phone: 309-243-8980 |