Louis Abukhalaf, DDS
Dentist in Carmel, IN. Individual provider (NPI-1).
NPI number1194010744
StatusActive
Last updated in NPPESJun 3, 2019
Details
- NPI
- 1194010744
- Entity type
- Individual (NPI-1)
- Name
- Mr. Louis Abukhalaf
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 11, 2011
- Last updated
- Jun 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 12011660 | IN | Yes |
| 1223E0200X | Dentist, Endodontics | 12011660 | IN | |
| 1223G0001X | Dentist, General Practice | 12011660A | IN | |
| 1223G0001X | Dentist, General Practice | 12011660 | IN | |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 12011660 | IN |
Practice location
14560 River Rd Ste 105Carmel, IN 46033-5802
Phone 317-764-2938 · Fax 317-219-6781
Mailing address
12620 Misty Ridge CtFishers, IN 46037-4423
Phone 312-375-5306
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