Sara Alkhatib, DDS
Individual provider Active NPI General Practice Dentistry · Indianapolis, IN
NPI 1205404381 · NPPES record last updated Sep 21, 2022
Key facts
- NPI
- 1205404381
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12013754A (IN)
- Practice address
- 11683 Fox Rd
Indianapolis, IN 46236-8423 - Phone
- (317) 826-4347
- NPI assigned
- Jun 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12013754A | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifetime Dental Care of Indiana, PC | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12013754A | IN | Yes |
Addresses
Primary practice location
11683 Fox Rd
Indianapolis, IN 46236-8423
Mailing address
11683 Fox Rd
Indianapolis, IN 46236-8423
Phone (317) 826-4347
Other providers in Indianapolis, IN
- Razan Aljaras
- Lujane Aljebawi
- Yacoub Aljobeh
- Lynn Alkhatib
- Nedal Alkhatib
- Alaa Alkhayat
- Khalid Azam Alkimawi
- All About ABA LLC
- All About My Family Business
- All About US LLC
All providers in Indianapolis, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.