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Provider Information for 1053583161

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. HOHETE YOHANNES HENDRIX DMD;MSD

Gender: FEMALE

Individual NPI: 1053583161

Calendar   Last Updated:  2018-03-17
  Certification Date: 

Details

Name Value
NPI 1053583161
Enumeration Date 2008-03-28
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 2676 CHARLESTOWN RD STE 1
NEW ALBANY, IN 47150-2574
United States

Phone: 812-945-5533 | Fax:
View Map External Link
Primary Practice Address 2676 CHARLESTOWN RD STE 1
NEW ALBANY, IN 47150-2574
United States

Phone: 317-224-8579 | Fax:
View Map External Link
Secondary Practice Address 8845 BOEHNING LN
INDIANAPOLIS, IN 46219-1974
United States

Phone: 317-899-1112 | Fax: 317-899-1117
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist IN 12011079A