| Sun Gate Dental | |
|
3750 Landmark Dr Ste E Lafayette IN 47905-6652 | |
| (317) 354-7999 | |
| Not Available |
| Full Name | Sun Gate Dental |
|---|---|
| Speciality | Dentist |
| Location | 3750 Landmark Dr Ste E, Lafayette, Indiana |
| Authorized Official Name and Position | Brenda Carynthia Hanes (PROSTHODONTIST) |
| Authorized Official Contact | 3173547999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun Gate Dental 5769 Waterstone Way Whitestown IN 46075-9001 Ph: (131) 735-4799 | Sun Gate Dental 3750 Landmark Dr Ste E Lafayette IN 47905-6652 Ph: (317) 354-7999 |
| NPI Number | 1205606670 |
|---|---|
| Provider Enumeration Date | 01/05/2024 |
| Last Update Date | 01/05/2024 |
| Certification Date | 01/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205606670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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