NPI 1134596869

Indiana Dental Sleep Therapy LLC

Organisation Dentist Lafayette, IN

Practice location

Address: 4921 Sr 26 E Suite 300, Lafayette, IN 47905
Phone: (309) 243-8980

Authorised official

Name: Shane Cope
Title: Owner
Phone: (317) 640-7907

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 12011052A (IN)

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Registry record

NPI: 1134596869
Entity type: Organization
NPI issued: 28 Aug 2015
Record last updated: 16 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.