Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Lakewood Family Dental of Lafayette Inc

Organization Dentist · NPI 1487026431

Lakewood Family Dental of Lafayette Inc provides Dentist services in Lafayette, Indiana. Licensed in Indiana. Registered with an NPI since 2015.

Licensed in
IN
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2 Executive Dr
Lafayette, IN 47905-4878 Not confirmed with CMS for 10 years — call before visiting
Phone: (765) 807-6666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12012121A (IN)

Record details

NPI number1487026431
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Srinivasulu Kakollu — President · (765) 807-6666
NPI enumeratedOctober 28, 2015
Last updated in NPPESOctober 28, 2015
Mailing address2 Executive Dr, Lafayette, IN 47905-4878

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