| Periodontal Associates Of Lafayette | |
|
415 N 26th St Suite 303 Lafayette IN 47904-2895 | |
| (765) 447-9139 | |
| Not Available |
| Full Name | Periodontal Associates Of Lafayette |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 415 N 26th St, Lafayette, Indiana |
| Authorized Official Name and Position | David Alexander (PARTNER) |
| Authorized Official Contact | 7654479319 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontal Associates Of Lafayette 415 N 26th St Suite 303 Lafayette IN 47904-2895 Ph: (765) 447-9139 | Periodontal Associates Of Lafayette 415 N 26th St Suite 303 Lafayette IN 47904-2895 Ph: (765) 447-9139 |
| NPI Number | 1841363421 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841363421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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