# DHDA WFD, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DHDA PROVIDERCO, PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205418258
- **Legal business name:** DHDA PROVIDERCO, PLLC
- **Authorized official:** PAUL LAVELLE DMD (SOLE MEMBER OF DHDA PROVIDERCO PLLC)
- **Authorized official phone:** (502) 228-0234

## Contact information

- **Practice address:** 3146 N NATIONAL RD, COLUMBUS, IN 47201-3169
- **Practice address phone:** (812) 372-5568
- **Mailing address:** 120 WEBSTER ST STE 332, LOUISVILLE, KY 40206-1895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/28/2021
- **Last updated:** 04/28/2021