Healthcare Provider Details

I. General information

NPI: 1144967704
Provider Name (Legal Business Name): HAKAN TURKKAHRAMAN DDS. PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MUHAMMET HAKAN TURKKAHRAMAN DDS, PHD

II. Dates (important events)

Enumeration Date: 05/16/2022
Last Update Date: 05/16/2022
Certification Date: 05/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1121 W MICHIGAN ST RM DS249
INDIANAPOLIS IN
46202-5211
US

IV. Provider business mailing address

1121 W MICHIGAN ST RM DS249
INDIANAPOLIS IN
46202-5211
US

V. Phone/Fax

Practice location:
  • Phone: 317-278-9934
  • Fax: 317-278-9933
Mailing address:
  • Phone: 317-278-9934
  • Fax: 317-278-9933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberLDF200014
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: