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ANGELA DEHAVEN DDS LLC
NPI 1972901163
Dentist - General Practice in Anderson, IN

Active since December 20, 2014
3225 NICHOL AVE, ANDERSON, IN 46011(765) 642-7717(765) 649-2111 Get Directions Write a Review

NPPES record last updated: December 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angela Dehaven Dds Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA DEHAVEN DDS LLC (NPI 1972901163) is a healthcare organization registered as a general practice in Anderson, Indiana and active in the NPI registry since December 2014. The organization lists Angela Lynn Dehaven, Owner, as its authorized official.

NPPES Registry Identity

NPI1972901163
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameANGELA DEHAVEN DDS LLC
Location Address3225 NICHOL AVEAnderson, IN 46011-3148
Mailing Address3225 Nichol AveAnderson, IN 46011-3148 · (765) 642-7717 · Fax (765) 649-2111
Phone(765) 642-7717
Fax(765) 649-2111
Organization SubpartNo
Authorized OfficialAngela Lynn DehavenOwner · (765) 642-7717
Enumeration DateDecember 20, 2014
Last NPPES UpdateDecember 23, 2014
✔ NPI 1972901163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 12009405
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3225 NICHOL AVE, Anderson, IN 46011
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEHAVEN FAMILY DENTAL LLC
Dentist (General Practice)
3225 NICHOL AVE
ANDERSON, IN 46011
Madison County (765) 642-7717
DR. RICHARD VINCENT JANZARUK D.D.S.
Dentist (General Practice)
3225 NICHOL AVE
ANDERSON, IN 46011
Madison County (765) 649-5257

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Dehaven Dds LLC's NPI number?

The NPI number for Angela Dehaven Dds LLC is 1972901163. It was assigned to this organization in the NPPES registry on December 20, 2014.

Where is Angela Dehaven Dds LLC located?

Angela Dehaven Dds LLC is located at 3225 Nichol Ave, Anderson, IN 46011. The listed phone number is (765) 642-7717.

What is Angela Dehaven Dds LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Angela Dehaven Dds LLC was last updated on December 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.