Creshinda Ayangade, D.M.D
Individual provider Active NPI General Practice Dentistry · Michigan City, IN
NPI 1720170582 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720170582
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12010134 (IN)
- Practice address
- 332 Dunes Plaza
Michigan City, IN 46360 - Phone
- (219) 871-7171
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 12010134 | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan City Family Dentistry | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12010134 | IN | Yes |
Addresses
Primary practice location
332 Dunes Plaza
Michigan City, IN 46360
Mailing address
332 Dunes Plaza
Michigan City, IN 46360
Other providers in Michigan City, IN
- Shahabul Arfeen
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- Oluseyi Ayangade
- Ali Sayed Abdel Azeem
- William Han Bae
- Breghan Bailey Albers
- Margaret M Bailey
All providers in Michigan City, 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 Jul 8, 2007. 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.