Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lakewood Family Dental of Lafayette Inc

Organization Dentist · NPI 1487026431

Lakewood Family Dental of Lafayette Inc is a Dentist in Lafayette, Indiana. Licensed in Indiana. Registered with an NPI since 2015.

Licensed in
IN
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2 Executive Dr
Lafayette, IN 47905-4878
Phone: (765) 807-6666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12012121A (IN)

Record details

NPI number1487026431
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Srinivasulu Kakollu — President · (765) 807-6666
NPI enumeratedOctober 28, 2015
Last updated in NPPESOctober 28, 2015
Mailing address2 Executive Dr, Lafayette, IN 47905-4878

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